IZOLDA M RADVILA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042749

License Status

INACTIVE

Business

First Name

IZOLDA M

Last Name

RADVILA

Suffix

Business Name

IZOLDA M RADVILA MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/2005

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006