KATHRYN ELLEN PAVIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070466

License Status

EXPIRED

Business

Title

First Name

KATHRYN

Middle

ELLEN

Last Name

PAVIA

Business Name

KATHRYN ELLEN PAVIA MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020