JOSE ANTONIO GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102483

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

ANTONIO

Last Name

GONZALEZ

Suffix

Business Name

JOSE ANTONIO GONZALEZ MD

Original Issue Date

05/15/2000

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017