ALEXANDRA LEE GONZALEZ AGUILAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124211

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

LEE GONZALEZ

Last Name

AGUILAR

Business Name

ALEXANDRA LEE GONZALEZ AGUILAR MD

Original Issue Date

08/12/2009

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014