RAFAEL CHIU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098058

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

CHIU

Suffix

Business Name

RAFAEL CHIU MD

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006