CLEMEN ORLANDO GONZALEZ VASQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

CLEMEN

Middle

ORLANDO

Last Name

GONZALEZ VASQUEZ

Business Name

CLEMEN ORLANDO GONZALEZ VASQUEZ MD

Original Issue Date

05/07/2020

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023