VICENTE H GRACIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

VICENTE H

Last Name

GRACIAS

Suffix

Business Name

VICENTE H GRACIAS MD

Original Issue Date

03/24/1994

Effective Date

03/24/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006