VIRGILIO M DYCOCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

VIRGILIO M

Last Name

DYCOCO

Suffix

Business Name

VIRGILIO M DYCOCO MD

Original Issue Date

01/01/1997

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

PANA

State

Zip

62557

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021