ROSE MILA C JAUCIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

ROSE MILA C

Last Name

JAUCIAN

Business Name

ROSE MILA C JAUCIAN MD

Original Issue Date

07/31/1992

Effective Date

01/04/2007

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020