GUSTAVO ADOLFO GONZALEZ GARCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

GUSTAVO

Middle

ADOLFO

Last Name

GONZALEZ GARCIA

Business Name

GUSTAVO ADOLFO GONZALEZ GARCIA MD

Original Issue Date

09/13/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

RICHMOND

State

Zip

23220

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023