JOSE FERNANDES C VAZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058160

License Status

NOT RENEWED

Business

First Name

JOSE FERNANDES C

Last Name

VAZ

Business Name

JOSE FERNANDES C VAZ

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006