RONALD P CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

RONALD P

Last Name

CHAVEZ

Suffix

Business Name

RONALD P CHAVEZ MD

Original Issue Date

07/22/1996

Effective Date

07/22/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006