RAFAEL M GONZALEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035367

License Status

INACTIVE

Business

First Name

RAFAEL M

Last Name

GONZALEZ

Suffix

Business Name

RAFAEL M GONZALEZ MD

Original Issue Date

08/19/1958

Effective Date

08/19/1958

Expiration Date

07/31/1987

City

BIRMINGHAM

State

Zip

48009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006