CAMILLE D CHAVEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019278

License Status

EXPIRED

Business

First Name

CAMILLE D

Last Name

CHAVEZ

Suffix

Business Name

CAMILLE D CHAVEZ MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006