NANI LOZASA GELVEZON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136051

License Status

NOT RENEWED

Business

Title

First Name

NANI

Middle

LOZASA

Last Name

GELVEZON

Business Name

NANI LOZASA GELVEZON DO

Original Issue Date

07/28/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021