CARLOS M CHOUCINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

CARLOS M

Last Name

CHOUCINO

Business Name

CARLOS M CHOUCINO

Original Issue Date

08/14/1992

Effective Date

08/14/1992

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006