LUIS IRAVEDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

IRAVEDRA

Suffix

Business Name

LUIS IRAVEDRA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020