TITO DENIX PENA GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117554

License Status

NOT RENEWED

Business

First Name

TITO

Middle

DENIX

Last Name

PENA GUZMAN

Business Name

TITO DENIX PENA GUZMAN

Original Issue Date

01/30/2007

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017