GONZALO T CHUA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044395

License Status

INACTIVE

Business

First Name

GONZALO T

Last Name

CHUA

Suffix

Business Name

GONZALO T CHUA MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1990

City

INDIANAPOLIS

State

Zip

46206

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006