JUAN GABRIEL ORTIZ-VAZQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174195

License Status

ACTIVE

Business

Title

First Name

JUAN

Middle

GABRIEL

Last Name

ORTIZ-VAZQUEZ

Business Name

JUAN GABRIEL ORTIZ-VAZQUEZ MD

Original Issue Date

03/16/2025

Effective Date

03/16/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2025