PEDRO BANTUG DE GUZMAN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093831

License Status

ACTIVE

Business

First Name

PEDRO BANTUG

Last Name

DE GUZMAN JR

Suffix

Business Name

PEDRO BANTUG DE GUZMAN JR MD

Original Issue Date

07/30/1996

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/01/2023