JUAN CARLOS ZEBALLOS CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124576

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

CARLOS

Last Name

ZEBALLOS CHAVEZ

Business Name

JUAN CARLOS ZEBALLOS CHAVEZ MD

Original Issue Date

11/04/2009

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014