JEFFREY JOSEPH GONZALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

JOSEPH

Last Name

GONZALES

Suffix

Business Name

JEFFREY JOSEPH GONZALES MD

Original Issue Date

06/27/2007

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020