ROBERT B AVENA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020268

License Status

EXPIRED

Business

First Name

ROBERT B

Last Name

AVENA

Business Name

ROBERT B AVENA

Original Issue Date

08/27/1986

Effective Date

08/27/1986

Expiration Date

07/01/1989

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006