SUSANNE GONZALEZ GALLARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133076

License Status

NOT RENEWED

Business

Title

First Name

SUSANNE

Middle

GONZALEZ

Last Name

GALLARDO

Business Name

SUSANNE GONZALEZ GALLARDO MD

Original Issue Date

05/28/2013

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017