JAVIER ALFONSO GOMEZ VALENCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

JAVIER

Middle

ALFONSO

Last Name

GOMEZ VALENCIA

Business Name

JAVIER ALFONSO GOMEZ VALENCIA MD

Original Issue Date

06/21/2012

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023