IVA CHADIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

IVA

Last Name

CHADIM

Suffix

Business Name

IVA CHADIM MD

Original Issue Date

12/22/1992

Effective Date

12/22/1992

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006