ANDREW PACIS WONG GONZALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084287

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

PACIS WONG

Last Name

GONZALES

Business Name

ANDREW PACIS WONG GONZALES MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

06/06/2024