DEBRA ANN GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

ANN

Last Name

GONZALEZ

Business Name

DEBRA ANN GONZALEZ MD

Original Issue Date

12/07/2012

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020