EVANGELINE G GONZALEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094034

License Status

INACTIVE

Business

First Name

EVANGELINE G

Last Name

GONZALEZ

Business Name

EVANGELINE G GONZALEZ

Original Issue Date

08/17/1996

Effective Date

08/17/1996

Expiration Date

07/31/1999

City

ABBEVILLE

State

Zip

29620

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006