JAIME E MONTOYA-CHAVEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

MONTOYA-CHAVEZ

Business Name

JAIME E MONTOYA-CHAVEZ

Original Issue Date

01/10/2006

Effective Date

01/10/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008