LIDA KECHAVARZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067053

License Status

NOT RENEWED

Business

First Name

LIDA

Last Name

KECHAVARZ

Suffix

Business Name

LIDA KECHAVARZ MD

Original Issue Date

07/21/1983

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011