WALTER R GONZALEZ 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

WALTER

Middle

Last Name

GONZALEZ

Suffix

Business Name

WALTER R GONZALEZ MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008

Case Number

1997000663

Action

Probation

Discipline Start Date

04/12/1999

Discipline End Date

04/11/2001