WIFREDO GONZALEZ JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021791

License Status

EXPIRED

Business

First Name

WIFREDO

Last Name

GONZALEZ JR

Suffix

Business Name

WIFREDO GONZALEZ JR MD

Original Issue Date

01/06/1988

Effective Date

01/06/1988

Expiration Date

12/29/1990

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006