DANIEL IGAL NUCHOVICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DANIEL IGAL

Last Name

NUCHOVICH

Business Name

DANIEL IGAL NUCHOVICH

Original Issue Date

01/19/1988

Effective Date

01/19/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006