CELERINA NIEVES GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

CELERINA NIEVES

Last Name

GONZALEZ

Suffix

Business Name

CELERINA NIEVES GONZALEZ MD

Original Issue Date

06/16/1982

Effective Date

06/16/1982

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006