JUAN P CEVALLOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021120

License Status

EXPIRED

Business

First Name

JUAN P

Last Name

CEVALLOS

Suffix

Business Name

JUAN P CEVALLOS MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006