DEBRA ANN GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129606

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

ANN

Last Name

GONZALEZ

Business Name

DEBRA ANN GONZALEZ MD

Original Issue Date

02/14/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021