TENY HENRY GOMEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059035

License Status

EXPIRED

Business

First Name

TENY

Middle

HENRY

Last Name

GOMEZ

Suffix

Business Name

TENY HENRY GOMEZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015