RICHARD GONZALEZ PEREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

GONZALEZ

Last Name

PEREZ

Business Name

RICHARD GONZALEZ PEREZ MD

Original Issue Date

08/15/2012

Effective Date

08/15/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/17/2014