KRISTHIAM FERNEY GONZALEZ GUIZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

KRISTHIAM

Middle

FERNEY

Last Name

GONZALEZ GUIZA

Business Name

KRISTHIAM FERNEY GONZALEZ GUIZA MD

Original Issue Date

01/24/2018

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

PORT ST LUCIE

State

Zip

34987

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023