HECTOR GONZALEZ Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002377

License Status

INACTIVE

Business

First Name

HECTOR

Last Name

GONZALEZ

Business Name

HECTOR GONZALEZ

Original Issue Date

10/07/2004

Effective Date

10/07/2004

Expiration Date

03/01/2006

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

01/04/2011