CAMILLE D CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078978

License Status

NOT RENEWED

Business

First Name

CAMILLE D

Last Name

CHAVEZ

Suffix

Business Name

CAMILLE D CHAVEZ MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006