CARLOS GONZALEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

GONZALEZ

Suffix

JR MD

Business Name

CARLOS GONZALEZ JR MD

Original Issue Date

02/09/2011

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012000543

Action

Suspension

Discipline Start Date

04/12/2013

Discipline Reason

after his DEA Registration was revoked.