CRISTINA ISABEL ANEZ DE GOMEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067298

License Status

CANCELLED

Business

Title

First Name

CRISTINA

Middle

ISABEL

Last Name

ANEZ DE GOMEZ

Business Name

CRISTINA ISABEL ANEZ DE GOMEZ MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/08/2015