JAVIER G GONZALEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025623

License Status

EXPIRED

Business

First Name

JAVIER

Middle

Last Name

GONZALEZ

Business Name

JAVIER G GONZALEZ

Original Issue Date

06/20/1990

Effective Date

06/20/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006