SHIRLEY GONZALEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093533

License Status

INACTIVE

Business

First Name

SHIRLEY

Last Name

GONZALEZ

Business Name

SHIRLEY GONZALEZ

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

07/31/1999

City

WALTHAM

State

Zip

02154

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006