DIANA CAROLINA GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122488

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

CAROLINA

Last Name

GOMEZ

Suffix

Business Name

DIANA CAROLINA GOMEZ MD

Original Issue Date

01/22/2009

Effective Date

01/22/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011