ANTONIO HERIBERT CHAVIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ANTONIO HERIBERT

Last Name

CHAVIANO

Suffix

Business Name

ANTONIO HERIBERT CHAVIANO MD

Original Issue Date

10/21/1981

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014