JUAN DAVID GONZALEZ VILLAMIZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139696

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

DAVID

Last Name

GONZALEZ VILLAMIZAR

Business Name

JUAN DAVID GONZALEZ VILLAMIZAR MD

Original Issue Date

02/04/2016

Effective Date

02/04/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017