DIEGO F MENCHACA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DIEGO F

Last Name

MENCHACA

Suffix

Business Name

DIEGO F MENCHACA MD

Original Issue Date

09/06/1988

Effective Date

09/06/1988

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006