LOLITA S VELASQUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055448

License Status

NOT RENEWED

Business

First Name

LOLITA S

Last Name

VELASQUEZ

Business Name

LOLITA S VELASQUEZ

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006