MANUEL R CHINCHILLA OLIVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000013

License Status

EXPIRED

Business

First Name

MANUEL

Middle

Last Name

CHINCHILLA OLIVA

Business Name

MANUEL R CHINCHILLA OLIVA

Original Issue Date

03/13/1995

Effective Date

03/13/1995

Expiration Date

07/09/1995

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006