GUSTAVO A BERMUDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043070

License Status

NOT RENEWED

Business

First Name

GUSTAVO A

Last Name

BERMUDEZ

Suffix

Business Name

GUSTAVO A BERMUDEZ MD

Original Issue Date

01/06/1970

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008