DONNA IGNACIO VASQUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115387

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

IGNACIO

Last Name

VASQUEZ

Business Name

DONNA IGNACIO VASQUEZ

Original Issue Date

03/14/2006

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014