GUADALUPE BUSTAMANTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088384

License Status

ACTIVE

Business

First Name

GUADALUPE

Last Name

BUSTAMANTE

Suffix

Business Name

GUADALUPE BUSTAMANTE MD

Original Issue Date

05/04/1994

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023