PANCHO DEGAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

PANCHO

Last Name

DEGAND

Suffix

Business Name

PANCHO DEGAND MD

Original Issue Date

01/01/1997

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017