DANIEL CARLOS CHAVEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081213

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

CARLOS

Last Name

CHAVEZ

Business Name

DANIEL CARLOS CHAVEZ MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/12/2023