ANTHONY NICKOLAS GAVALAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001543

License Status

EXPIRED

Business

Title

First Name

ANTHONY

Middle

NICKOLAS

Last Name

GAVALAS

Business Name

ANTHONY NICKOLAS GAVALAS MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

09/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/06/2024