LENA M E CHACO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084111

License Status

NOT RENEWED

Business

First Name

LENA M E

Last Name

CHACO

Business Name

LENA M E CHACO

Original Issue Date

03/14/1992

Effective Date

03/14/1992

Expiration Date

07/31/1999

City

HAZARD

State

Zip

41701

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006