RICHARD MARTIN CHAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046697

License Status

NOT RENEWED

Business

First Name

RICHARD MARTIN

Last Name

CHAVIS

Suffix

Business Name

RICHARD MARTIN CHAVIS MD

Original Issue Date

12/14/1972

Effective Date

12/14/1972

Expiration Date

07/01/1974

City

GREAT NECK

State

Zip

11020

County

NEW YORK

Ever Disciplined

LastModifiedDate

12/04/2008