EDUARDO J BAZAN LAVANDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064254

License Status

EXPIRED

Business

Title

First Name

EDUARDO

Middle

Last Name

BAZAN LAVANDA

Business Name

EDUARDO J BAZAN LAVANDA MD

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

07/15/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Sleep Medicine

Ever Disciplined

LastModifiedDate

03/13/2015