ALEX JOHN BUIVIDAS - Podiatrist License in Illinois | # 016002248

ALEX JOHN BUIVIDAS

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002248

License Status

INACTIVE

Business

N

First Name

ALEX JOHN

Last Name

BUIVIDAS

Business Name

ALEX JOHN BUIVIDAS

Original Issue Date

07/26/1955

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

11/21/2006