MARION EMMANUELLA GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069062

License Status

EXPIRED

Business

Title

First Name

MARION

Middle

EMMANUELLA

Last Name

GONZALEZ

Business Name

MARION EMMANUELLA GONZALEZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019