JAIME LEON GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048183

License Status

NOT RENEWED

Business

First Name

JAIME LEON

Last Name

GOMEZ

Suffix

Business Name

JAIME LEON GOMEZ MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006