LUIS F CHAVARRIAGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128380

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

Last Name

CHAVARRIAGA

Suffix

Business Name

LUIS F CHAVARRIAGA MD

Original Issue Date

07/07/2011

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014