ALEXANDER ANAVIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071717

License Status

EXPIRED

Business

First Name

ALEXANDER

Last Name

ANAVIM

Business Name

ALEXANDER ANAVIM

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019