IVAN H VAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033191

License Status

NOT RENEWED

Business

First Name

IVAN H

Last Name

VAZQUEZ

Suffix

Business Name

IVAN H VAZQUEZ MD

Original Issue Date

12/01/1954

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014