GISELA M GONZALEZ DIAZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

GISELA M

Last Name

GONZALEZ DIAZ

Business Name

GISELA M GONZALEZ DIAZ

Original Issue Date

12/28/1994

Effective Date

12/28/1994

Expiration Date

07/31/1996

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020