RUDOLPH GONZALEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012301

License Status

EXPIRED

Business

First Name

RUDOLPH

Last Name

GONZALEZ

Business Name

RUDOLPH GONZALEZ

Original Issue Date

04/23/1981

Effective Date

04/23/1981

Expiration Date

04/27/1983

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006