AYEZEL MARINA MUNOZ GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000846

License Status

EXPIRED

Business

Title

First Name

AYEZEL

Middle

MARINA

Last Name

MUNOZ GONZALEZ

Business Name

AYEZEL MARINA MUNOZ GONZALEZ MD

Original Issue Date

02/10/2020

Effective Date

02/10/2020

Expiration Date

08/10/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatric Dermatology

Ever Disciplined

LastModifiedDate

11/19/2020