STANLEY A MENDOZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043085

License Status

NOT RENEWED

Business

First Name

STANLEY A

Last Name

MENDOZA

Suffix

Business Name

STANLEY A MENDOZA MD

Original Issue Date

01/06/1970

Effective Date

01/06/1970

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006