DONNA IGNACIO VASQUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

IGNACIO

Last Name

VASQUEZ

Business Name

DONNA IGNACIO VASQUEZ

Original Issue Date

03/16/2006

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014