MICHAEL CHAVIS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004229

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

CHAVIS

Suffix

DPM

Business Name

MICHAEL CHAVIS DPM

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006