JUAN DAVID GONZALEZ VILLAMIZAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064083

License Status

CANCELLED

Business

Title

First Name

JUAN

Middle

DAVID

Last Name

GONZALEZ VILLAMIZAR

Business Name

JUAN DAVID GONZALEZ VILLAMIZAR MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

02/15/2017