GABRIEL J MARTINEZ DIAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000595

License Status

CANCELLED

Business

Title

First Name

GABRIEL

Middle

Last Name

MARTINEZ DIAZ

Business Name

GABRIEL J MARTINEZ DIAZ MD

Original Issue Date

06/01/2014

Effective Date

06/01/2014

Expiration Date

11/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dermatology

Ever Disciplined

LastModifiedDate

03/13/2015