CARMEN LUCIA VAZQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086740

License Status

ACTIVE

Business

Title

First Name

CARMEN

Middle

LUCIA

Last Name

VAZQUEZ

Business Name

CARMEN LUCIA VAZQUEZ MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/05/2025