JUAN DAVID GONZALEZ VILLAMIZAR 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

Title

First Name

JUAN

Middle

DAVID

Last Name

GONZALEZ VILLAMIZAR

Business Name

JUAN DAVID GONZALEZ VILLAMIZAR MD

Original Issue Date

02/04/2016

Effective Date

02/04/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017