ROSALBA GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052968

License Status

NOT RENEWED

Business

First Name

ROSALBA

Last Name

GOMEZ

Suffix

Business Name

ROSALBA GOMEZ MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006