ANDREW ALEXANDER GONZALEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058786

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

ALEXANDER

Last Name

GONZALEZ

Business Name

ANDREW ALEXANDER GONZALEZ MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/12/2015