CAMILLE D CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

CAMILLE D

Last Name

CHAVEZ

Suffix

Business Name

CAMILLE D CHAVEZ MD

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006