LUIS A GUZMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000221

License Status

CANCELLED

Business

First Name

LUIS

Middle

Last Name

GUZMAN

Suffix

Business Name

LUIS A GUZMAN MD

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

02/28/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006