GUILLERMO S D JUSTINIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062105

License Status

NOT RENEWED

Business

First Name

GUILLERMO S D

Last Name

JUSTINIANO

Suffix

Business Name

GUILLERMO S D JUSTINIANO MD

Original Issue Date

05/04/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/06/2008