EMANUEL DAVID RIVAS CHACON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077575

License Status

CANCELLED

Business

Title

First Name

EMANUEL

Middle

DAVID

Last Name

RIVAS CHACON

Business Name

EMANUEL DAVID RIVAS CHACON MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2021