ASUNCION GONZALES JISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

ASUNCION

Middle

GONZALES

Last Name

JISON

Suffix

Business Name

ASUNCION GONZALES JISON MD

Original Issue Date

12/15/1987

Effective Date

12/15/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017