GUNAR GONZALO SUBIETA-BENITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119963

License Status

ACTIVE

Business

First Name

GUNAR

Middle

GONZALO

Last Name

SUBIETA-BENITO

Suffix

Business Name

GUNAR GONZALO SUBIETA-BENITO MD

Original Issue Date

01/14/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023