DANIEL A GONZALEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032211

License Status

EXPIRED

Business

First Name

DANIEL A

Last Name

GONZALEZ

Business Name

DANIEL A GONZALEZ

Original Issue Date

07/15/1994

Effective Date

07/15/1994

Expiration Date

07/12/1997

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006