LYDIA G AVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123941

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

Last Name

AVILA

Suffix

Business Name

LYDIA G AVILA MD

Original Issue Date

07/08/2009

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014