IMMACULA M CANTAVE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043953

License Status

INACTIVE

Business

First Name

IMMACULA M

Last Name

CANTAVE

Suffix

Business Name

IMMACULA M CANTAVE MD

Original Issue Date

12/22/1970

Effective Date

12/22/1970

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006