LUIS CHIVA - Medical Doctor License in Illinois | # 125032313

LUIS CHIVA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032313

License Status

EXPIRED

Business

N

First Name

LUIS

Last Name

CHIVA

Business Name

LUIS CHIVA

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

08/07/1995

State

IL

Specialty/Qualifier

Gynecologic Oncology

Ever Disciplined

N

LastModifiedDate

09/22/2006