DANIEL A GONZALEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

GONZALEZ

Business Name

DANIEL A GONZALEZ

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006