TEDDY GONZALO MONTOYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059968

License Status

NOT RENEWED

Business

First Name

TEDDY GONZALO

Last Name

MONTOYA

Suffix

Business Name

TEDDY GONZALO MONTOYA MD

Original Issue Date

01/11/1980

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

1994008188

Action

Probation

Discipline Start Date

07/14/1997

Discipline End Date

06/04/1998

Discipline Reason

Outstanding tax liability owed the Illinois Department of Revenue.