GUSTAVO F POVEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038105

License Status

NOT RENEWED

Business

First Name

GUSTAVO F

Last Name

POVEDA

Suffix

Business Name

GUSTAVO F POVEDA MD

Original Issue Date

09/26/1962

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017