MARIANGELINE GONZALEZ ORTIZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079856

License Status

CANCELLED

Business

Title

First Name

MARIANGELINE

Last Name

GONZALEZ ORTIZ

Business Name

MARIANGELINE GONZALEZ ORTIZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/03/2024