MIRIAM GOMEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047002

License Status

EXPIRED

Business

First Name

MIRIAM

Last Name

GOMEZ

Suffix

Business Name

MIRIAM GOMEZ MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/08/2006

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006