MICHAEL V GAVINO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046170

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

GAVINO

Business Name

MICHAEL V GAVINO

Original Issue Date

05/13/2003

Effective Date

05/13/2003

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006