DIEGO ANDRES MEDVEDOFSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141793

License Status

NOT RENEWED

Business

Title

First Name

DIEGO

Middle

ANDRES

Last Name

MEDVEDOFSKY

Business Name

DIEGO ANDRES MEDVEDOFSKY MD

Original Issue Date

09/29/2016

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021