MAXIMILLAN B GUZMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

MAXIMILLAN B

Last Name

GUZMAN

Suffix

DDS

Business Name

MAXIMILLAN B GUZMAN DDS

Original Issue Date

12/28/1994

Effective Date

12/28/1994

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005