GONZALO J IRAVEDRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

GONZALO J

Last Name

IRAVEDRA

Business Name

GONZALO J IRAVEDRA

Original Issue Date

08/11/1994

Effective Date

08/11/1994

Expiration Date

07/31/1999

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006