MIRIAM GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116112

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

GOMEZ

Suffix

Business Name

MIRIAM GOMEZ MD

Original Issue Date

06/02/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008