JOSE FERNANDO CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130001

License Status

NOT RENEWED

Business

Title

First Name

JOSE

Middle

FERNANDO

Last Name

CHAVEZ

Business Name

JOSE FERNANDO CHAVEZ MD

Original Issue Date

04/09/2012

Effective Date

05/27/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017