LUIS CHIVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032313

License Status

EXPIRED

Business

First Name

LUIS

Last Name

CHIVA

Business Name

LUIS CHIVA

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

08/07/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Gynecologic Oncology

Ever Disciplined

LastModifiedDate

09/22/2006