RON LAVY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047099

License Status

CANCELLED

Business

First Name

RON

Last Name

LAVY

Suffix

Business Name

RON LAVY MD

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

09/14/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Surgical Oncology

Ever Disciplined

LastModifiedDate

09/22/2006