WIFREDO GONZALEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

WIFREDO

Last Name

GONZALEZ JR

Suffix

Business Name

WIFREDO GONZALEZ JR MD

Original Issue Date

07/17/2008

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011