WIFREDO GONZALEZ JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079687

License Status

INACTIVE

Business

First Name

WIFREDO

Last Name

GONZALEZ JR

Suffix

Business Name

WIFREDO GONZALEZ JR MD

Original Issue Date

01/27/1990

Effective Date

05/20/2011

Expiration Date

07/31/2014

City

ATLANTA

State

Zip

30345

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/03/2015