DIEGO ANDRES MEDVEDOFSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065043

License Status

CANCELLED

Business

Title

First Name

DIEGO

Middle

ANDRES

Last Name

MEDVEDOFSKY

Business Name

DIEGO ANDRES MEDVEDOFSKY MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/19/2016