GONZALO FABIAN ALBORNOZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094312

License Status

NOT RENEWED

Business

First Name

GONZALO FABIAN

Last Name

ALBORNOZ

Suffix

Business Name

GONZALO FABIAN ALBORNOZ MD

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2013

Case Number

2013006982

Action

Refuse To Renew

Discipline Start Date

10/28/2013

Discipline Reason

after being disciplined by the state of Maryland.