MARIO GUILLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163076

License Status

NOT RENEWED

Business

Title

First Name

MARIO

Last Name

GUILLEN

Business Name

MARIO GUILLEN MD

Original Issue Date

12/02/2022

Effective Date

12/02/2022

Expiration Date

07/31/2023

City

ROYAL PALM BEACH

State

Zip

33411

Ever Disciplined

LastModifiedDate

11/30/2023