MADELEINE M GOMEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043698

License Status

INACTIVE

Business

First Name

MADELEINE M

Last Name

GOMEZ

Suffix

Business Name

MADELEINE M GOMEZ MD

Original Issue Date

08/10/1970

Effective Date

08/10/1970

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006