FERNANDO L GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083284

License Status

NOT RENEWED

Business

Title

First Name

FERNANDO

Middle

Last Name

GONZALEZ

Business Name

FERNANDO L GONZALEZ MD

Original Issue Date

08/21/1991

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/30/2023