LUYGY R ZAVALETA JARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060400

License Status

CANCELLED

Business

Title

First Name

LUYGY

Middle

Last Name

ZAVALETA JARA

Business Name

LUYGY R ZAVALETA JARA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2013

Case Number

2013003649

Action

Revocation

Discipline Start Date

05/15/2013

Discipline Reason

for failure to provide requested information to the Department as required by 225 ILCS 60/17.