SERGIO EDUARDO CHINCHILLA CASTANEDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000007

License Status

EXPIRED

Business

First Name

SERGIO EDUARDO

Last Name

CHINCHILLA CASTANEDA

Business Name

SERGIO EDUARDO CHINCHILLA CASTANEDA

Original Issue Date

12/13/1993

Effective Date

12/13/1993

Expiration Date

04/14/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006