JUAN P CEVALLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078286

License Status

NOT RENEWED

Business

First Name

JUAN P

Last Name

CEVALLOS

Suffix

Business Name

JUAN P CEVALLOS MD

Original Issue Date

12/27/1988

Effective Date

12/27/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006