GONZALO J IRAVEDRA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026790

License Status

EXPIRED

Business

First Name

GONZALO J

Last Name

IRAVEDRA

Business Name

GONZALO J IRAVEDRA

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/18/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006