NANI LOZASA GELVEZON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

NANI

Middle

LOZASA

Last Name

GELVEZON

Business Name

NANI LOZASA GELVEZON DO

Original Issue Date

07/28/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021