JOSE R GUEVARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045220

License Status

NOT RENEWED

Business

Title

First Name

JOSE

Middle

Last Name

GUEVARA

Business Name

JOSE R GUEVARA MD

Original Issue Date

02/04/1972

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/14/2021