LUISITO C GONZALES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027502

License Status

EXPIRED

Business

First Name

LUISITO C

Last Name

GONZALES

Business Name

LUISITO C GONZALES

Original Issue Date

08/13/1991

Effective Date

08/13/1991

Expiration Date

08/11/1994

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006