MAURICIO RENAN CHAVEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046325

License Status

EXPIRED

Business

Title

First Name

MAURICIO

Middle

RENAN

Last Name

CHAVEZ

Business Name

MAURICIO RENAN CHAVEZ MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/03/2007