DIEGO F MENCHACA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021478

License Status

EXPIRED

Business

First Name

DIEGO F

Last Name

MENCHACA

Suffix

Business Name

DIEGO F MENCHACA MD

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

06/10/1990

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006