ARIEL J GONZALEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107291

License Status

NOT RENEWED

Business

First Name

ARIEL

Middle

Last Name

GONZALEZ

Business Name

ARIEL J GONZALEZ

Original Issue Date

06/28/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/24/2016

Case Number

2015001975

Action

Refuse To Renew

Discipline Start Date

09/19/2016

Discipline Reason

based on failure to respond to a mandatory report.