MARY FRANCINE P CHUA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066865

License Status

CANCELLED

Business

Title

First Name

MARY FRANCINE

Middle

Last Name

CHUA

Business Name

MARY FRANCINE P CHUA MD

Original Issue Date

06/27/2018

Effective Date

06/27/2018

Expiration Date

06/26/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

07/16/2018