GUADALUPE NIETO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081391

License Status

NOT RENEWED

Business

First Name

GUADALUPE

Last Name

NIETO

Business Name

GUADALUPE NIETO

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

02/11/2009