BENJAMIN C GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044764

License Status

NOT RENEWED

Business

First Name

BENJAMIN C

Last Name

GUZMAN

Business Name

BENJAMIN C GUZMAN

Original Issue Date

09/16/1971

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2017000477

Action

Suspension

Discipline Start Date

03/26/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes.