NIEVES TAN-LACHICA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

NIEVES

Last Name

TAN-LACHICA

Suffix

Business Name

NIEVES TAN-LACHICA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008