LORENA S CHICOYE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

LORENA

Middle

Last Name

CHICOYE

Business Name

LORENA S CHICOYE

Original Issue Date

04/27/1999

Effective Date

04/27/1999

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020