MARCELLA R GUZMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

MARCELLA R

Last Name

GUZMAN

Suffix

DDS

Business Name

MARCELLA R GUZMAN DDS

Original Issue Date

11/22/1994

Effective Date

11/22/1994

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005