GERMAN GONZALO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043864

License Status

NOT RENEWED

Business

First Name

GERMAN

Last Name

GONZALO

Suffix

Business Name

GERMAN GONZALO MD

Original Issue Date

10/02/1970

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/01/2017