WALTER R GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016484

License Status

EXPIRED

Business

First Name

WALTER

Middle

Last Name

GONZALEZ

Suffix

Business Name

WALTER R GONZALEZ MD

Original Issue Date

03/26/1984

Effective Date

03/26/1984

Expiration Date

03/05/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006