MANUEL DIBILDOX GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048176

License Status

EXPIRED

Business

First Name

MANUEL

Last Name

DIBILDOX GONZALEZ

Suffix

Business Name

MANUEL DIBILDOX GONZALEZ MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006