CARLOS M CHOUCINO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025453

License Status

EXPIRED

Business

First Name

CARLOS M

Last Name

CHOUCINO

Business Name

CARLOS M CHOUCINO

Original Issue Date

06/13/1990

Effective Date

06/13/1990

Expiration Date

06/25/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006