MELVIN GONZAGA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055416

License Status

NOT RENEWED

Business

First Name

MELVIN

Last Name

GONZAGA

Business Name

MELVIN GONZAGA

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006