CY CHAVEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069702

License Status

CANCELLED

Business

Title

First Name

Last Name

CHAVEZ

Business Name

CY CHAVEZ MD

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

07/25/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/26/2016