ELLA KHVAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066917

License Status

NOT RENEWED

Business

First Name

ELLA

Last Name

KHVAT

Suffix

Business Name

ELLA KHVAT MD

Original Issue Date

07/15/1983

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021