RICHARD S PROVUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055144

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

PROVUS

Suffix

Business Name

RICHARD S PROVUS MD

Original Issue Date

07/18/1977

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2009010932

Action

Fine

Discipline Start Date

01/13/2012

Discipline Reason

due to possible failure to diagnose lung cancer in a timely manner.