MICHAEL ROBERT CHICOINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

CHICOINE

Suffix

Business Name

MICHAEL ROBERT CHICOINE MD

Original Issue Date

09/14/1999

Effective Date

09/14/1999

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008