FERNANDO E VAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105463

License Status

NOT RENEWED

Business

First Name

FERNANDO

Middle

Last Name

VAZQUEZ

Suffix

Business Name

FERNANDO E VAZQUEZ MD

Original Issue Date

08/23/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008