GUSTAVO ADOLFO MENDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067158

License Status

EXPIRED

Business

Title

First Name

GUSTAVO

Middle

ADOLFO

Last Name

MENDEZ

Business Name

GUSTAVO ADOLFO MENDEZ MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/11/2022