GONZALO J IRAVEDRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088164

License Status

NOT RENEWED

Business

First Name

GONZALO J

Last Name

IRAVEDRA

Business Name

GONZALO J IRAVEDRA

Original Issue Date

03/23/1994

Effective Date

03/23/1994

Expiration Date

07/31/1999

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006