JUAN GABRIEL ORTIZ-VAZQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079321

License Status

CANCELLED

Business

Title

First Name

JUAN

Middle

GABRIEL

Last Name

ORTIZ-VAZQUEZ

Business Name

JUAN GABRIEL ORTIZ-VAZQUEZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/16/2025