AINHOA COSTAS-CHAVARRI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

AINHOA

Last Name

COSTAS-CHAVARRI

Business Name

AINHOA COSTAS-CHAVARRI

Original Issue Date

07/19/2007

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017