GISELA M GONZALEZ DIAZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

GISELA M

Last Name

GONZALEZ DIAZ

Business Name

GISELA M GONZALEZ DIAZ

Original Issue Date

01/15/1992

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023