JOSE GUSTAVO CEVALLOS YEPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131022

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

GUSTAVO

Last Name

CEVALLOS YEPEZ

Suffix

Business Name

JOSE GUSTAVO CEVALLOS YEPEZ MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014