FRANCIS BALQUIEDRA GONZALES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048405

License Status

EXPIRED

Business

First Name

FRANCIS

Middle

BALQUIEDRA

Last Name

GONZALES

Suffix

Business Name

FRANCIS BALQUIEDRA GONZALES MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006