JESUS RENE DADIVAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130079

License Status

ACTIVE

Business

Title

First Name

JESUS

Middle

RENE

Last Name

DADIVAS

Business Name

JESUS RENE DADIVAS MD

Original Issue Date

04/16/2012

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2023