PATRICIA DIANA CHICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA

Middle

DIANA

Last Name

CHICO

Business Name

PATRICIA DIANA CHICO MD

Original Issue Date

03/13/2015

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021