JOSE MIGUEL VAZQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056905

License Status

EXPIRED

Business

First Name

JOSE

Middle

MIGUEL

Last Name

VAZQUEZ

Suffix

Business Name

JOSE MIGUEL VAZQUEZ MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012