ANGELA T GOMEZ-LAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046871

License Status

EXPIRED

Business

First Name

ANGELA

Middle

Last Name

GOMEZ-LAM

Business Name

ANGELA T GOMEZ-LAM

Original Issue Date

06/25/2003

Effective Date

06/25/2003

Expiration Date

06/24/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006