RALPH R VELAZQUEZ JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016083

License Status

EXPIRED

Business

First Name

RALPH R

Last Name

VELAZQUEZ JR

Suffix

Business Name

RALPH R VELAZQUEZ JR MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006