GUSTAVO MOSQUERA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053875

License Status

CANCELLED

Business

First Name

GUSTAVO

Last Name

MOSQUERA

Suffix

Business Name

GUSTAVO MOSQUERA MD

Original Issue Date

12/01/2007

Effective Date

12/01/2007

Expiration Date

11/30/2010

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

11/29/2007