ROSE MILA C JAUCIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

ROSE MILA C

Last Name

JAUCIAN

Business Name

ROSE MILA C JAUCIAN MD

Original Issue Date

02/20/2019

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023