ANTONIO HERIBERT CHAVIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063361

License Status

NOT RENEWED

Business

First Name

ANTONIO HERIBERT

Last Name

CHAVIANO

Suffix

Business Name

ANTONIO HERIBERT CHAVIANO MD

Original Issue Date

10/09/1981

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014