MARK DENNIS GOMEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048062

License Status

EXPIRED

Business

First Name

MARK

Middle

DENNIS

Last Name

GOMEZ

Business Name

MARK DENNIS GOMEZ

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007