ALBERT J GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

ALBERT J

Last Name

GOMEZ

Suffix

Business Name

ALBERT J GOMEZ MD

Original Issue Date

03/10/1989

Effective Date

03/10/1989

Expiration Date

07/31/1990

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006