JONATHAN B VASQUEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041048

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

Last Name

VASQUEZ

Business Name

JONATHAN B VASQUEZ

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006