BOAZ AVITALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070549

License Status

ACTIVE

Business

First Name

BOAZ

Last Name

AVITALL

Suffix

Business Name

BOAZ AVITALL MD

Original Issue Date

05/09/1985

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2023