CARLOS VALDIVIESO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018969

License Status

EXPIRED

Business

First Name

CARLOS

Last Name

VALDIVIESO

Business Name

CARLOS VALDIVIESO

Original Issue Date

08/14/1985

Effective Date

08/14/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006