JUANCHICHOS T VENTURA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033924

License Status

EXPIRED

Business

First Name

JUANCHICHOS

Middle

Last Name

VENTURA

Business Name

JUANCHICHOS T VENTURA

Original Issue Date

09/01/1995

Effective Date

09/01/1995

Expiration Date

08/31/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006