NATANIEL T VASQUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127450

License Status

NOT RENEWED

Business

First Name

NATANIEL

Middle

Last Name

VASQUEZ

Business Name

NATANIEL T VASQUEZ

Original Issue Date

04/01/2011

Effective Date

04/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014