WIFREDO GONZALEZ JR MD - Medical Doctor License in Georgia | # 036079687

WIFREDO GONZALEZ JR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079687

License Status

INACTIVE

Business

N

First Name

WIFREDO

Last Name

GONZALEZ JR

Suffix

MD

Business Name

WIFREDO GONZALEZ JR MD

Original Issue Date

01/27/1990

Effective Date

05/20/2011

Expiration Date

07/31/2014

State

GA

Ever Disciplined

N

LastModifiedDate

02/03/2015