RICHARD GONZALEZ PEREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057781

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

GONZALEZ

Last Name

PEREZ

Business Name

RICHARD GONZALEZ PEREZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2010