JUAN J VAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041296

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

VAZQUEZ

Suffix

Business Name

JUAN J VAZQUEZ MD

Original Issue Date

08/07/1967

Effective Date

08/07/1967

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006