ALEX JOHN BUIVIDAS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002248

License Status

INACTIVE

Business

First Name

ALEX JOHN

Last Name

BUIVIDAS

Business Name

ALEX JOHN BUIVIDAS

Original Issue Date

07/26/1955

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2006