License holder summary

CELSO RAPHAEL CHAVEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for CELSO RAPHAEL CHAVEZ is 1522 17th St LEWISTON ID 83501. This licensed professional license is current. The license was granted 01/16/1989 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CELSO RAPHAEL CHAVEZ
Board Of Medicine
License number
M-5480
Date granted
01/16/1989
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1522 17th St LEWISTON ID 83501
idaholicensing.com
ID 48338956
LAST UPDATED 2024-03-29 05:15:42 UTC

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