JAVIER ALFONSO GOMEZ VALENCIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055625

License Status

CANCELLED

Business

Title

First Name

JAVIER

Middle

ALFONSO

Last Name

GOMEZ VALENCIA

Business Name

JAVIER ALFONSO GOMEZ VALENCIA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2009