JAVIER VIDAL GONZALEZ COTTO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065776

License Status

CANCELLED

Business

Title

First Name

JAVIER

Middle

VIDAL

Last Name

GONZALEZ COTTO

Business Name

JAVIER VIDAL GONZALEZ COTTO MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

LAKE FOREST

State

Zip

60045

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2014