ISAGANI MARIO S CHICO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ISAGANI MARIO S

Last Name

CHICO

Business Name

ISAGANI MARIO S CHICO

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006