LARRY JOVAN VAZQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077165

License Status

EXPIRED

Business

Title

First Name

LARRY

Middle

JOVAN

Last Name

VAZQUEZ

Business Name

LARRY JOVAN VAZQUEZ MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024