SAMUEL G DEGUZMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047840

License Status

INACTIVE

Business

First Name

SAMUEL G

Last Name

DEGUZMAN

Suffix

Business Name

SAMUEL G DEGUZMAN MD

Original Issue Date

08/23/1973

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/24/2017