SAMUEL IRAN VAZQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166440

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

IRAN

Last Name

VAZQUEZ

Business Name

SAMUEL IRAN VAZQUEZ MD

Original Issue Date

08/10/2023

Effective Date

08/10/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

Ever Disciplined

LastModifiedDate

06/01/2023