ANDREA D P ZAMBRANO CHAVES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055145

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

D P

Last Name

ZAMBRANO CHAVES

Business Name

ANDREA D P ZAMBRANO CHAVES MD

Original Issue Date

06/17/2012

Effective Date

06/17/2012

Expiration Date

06/16/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/07/2013