BEN J KOCHUVELI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124332

License Status

NOT RENEWED

Business

Title

First Name

BEN

Middle

Last Name

KOCHUVELI

Business Name

BEN J KOCHUVELI MD

Original Issue Date

09/03/2009

Effective Date

09/03/2009

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011