NICOLAS ZAVALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075134

License Status

EXPIRED

Business

Title

First Name

NICOLAS

Last Name

ZAVALA

Business Name

NICOLAS ZAVALA MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Adult Cardiothoracic Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024