JUAN CARLOS ZEBALLOS CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

CARLOS

Last Name

ZEBALLOS CHAVEZ

Business Name

JUAN CARLOS ZEBALLOS CHAVEZ MD

Original Issue Date

11/06/2009

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014