JOSE LUIS DELACONCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

DELACONCHA

Suffix

Business Name

JOSE LUIS DELACONCHA MD

Original Issue Date

06/02/1982

Effective Date

06/02/1982

Expiration Date

07/31/1996

City

OAK BROOK

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006