GUSTAVO ADOLFO GOMEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058899

License Status

EXPIRED

Business

Title

First Name

GUSTAVO

Middle

ADOLFO

Last Name

GOMEZ

Business Name

GUSTAVO ADOLFO GOMEZ MD

Original Issue Date

06/29/2010

Effective Date

06/29/2010

Expiration Date

06/28/2013

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013