LIDA KECHAVARZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

LIDA

Last Name

KECHAVARZ

Suffix

Business Name

LIDA KECHAVARZ MD

Original Issue Date

08/16/1983

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CHICAGP

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011