LUIS IRAVEDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036396

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

IRAVEDRA

Suffix

Business Name

LUIS IRAVEDRA MD

Original Issue Date

03/02/1960

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2021