LILIAN DEL CARMEN GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

LILIAN

Middle

DEL CARMEN

Last Name

GONZALEZ

Business Name

LILIAN DEL CARMEN GONZALEZ MD

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021