ELIANA GAVIRIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054202

License Status

NOT RENEWED

Business

First Name

ELIANA

Last Name

GAVIRIA

Suffix

Business Name

ELIANA GAVIRIA MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1999

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1996004297

Action

Suspension

Discipline Start Date

04/09/1997

Discipline Reason

Failed to file tax returns, 1990-1994.