HELEN MISA VAZQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073882

License Status

CANCELLED

Business

Title

First Name

HELEN

Middle

MISA

Last Name

VAZQUEZ

Business Name

HELEN MISA VAZQUEZ MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

SOUTH HOLLAND

State

Zip

60473

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/11/2019