ALEXANDRE G TAVARES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043308

License Status

EXPIRED

Business

First Name

ALEXANDRE

Middle

Last Name

TAVARES

Business Name

ALEXANDRE G TAVARES

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/13/2007