DANIEL A GONZALEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093527

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

GONZALEZ

Business Name

DANIEL A GONZALEZ

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006