HERBERT A VASQUEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046976

License Status

EXPIRED

Business

First Name

HERBERT

Middle

Last Name

VASQUEZ

Business Name

HERBERT A VASQUEZ

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/23/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006