PATRICK JOSEPH GAVIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038913

License Status

CANCELLED

Business

First Name

PATRICK

Middle

JOSEPH

Last Name

GAVIN

Suffix

Business Name

PATRICK JOSEPH GAVIN MD

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

01/27/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Infectious Diseases

Ever Disciplined

LastModifiedDate

07/12/2007