RAQUEL GOMEZ-MORA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035411

License Status

EXPIRED

Business

First Name

RAQUEL

Last Name

GOMEZ-MORA

Suffix

Business Name

RAQUEL GOMEZ-MORA MD

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/15/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006