WALTER R GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072825

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

GONZALEZ

Suffix

Business Name

WALTER R GONZALEZ MD

Original Issue Date

06/01/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/13/2008

Case Number

2004001567

Action

Probation

Discipline Start Date

12/29/2004

Discipline End Date

12/28/2006

Discipline Reason

FAILED TO COMPLY WITH CARE, COUNSELING AND TREATMENT AGREEMENT.