GLADYS D VELASQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063792

License Status

CANCELLED

Business

First Name

GLADYS

Middle

Last Name

VELASQUEZ

Suffix

Business Name

GLADYS D VELASQUEZ MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014