JAVIER ZAVALETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JAVIER

Last Name

ZAVALETA

Suffix

Business Name

JAVIER ZAVALETA MD

Original Issue Date

01/01/1997

Effective Date

10/23/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1988000121

Action

Probation

Discipline Start Date

09/20/1996

Discipline End Date

10/27/2000

Discipline Reason

License restored on probation.