TERESITA V GUANZON DR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020472

License Status

EXPIRED

Business

First Name

TERESITA V

Last Name

GUANZON DR

Business Name

TERESITA V GUANZON DR

Original Issue Date

04/08/1987

Effective Date

04/08/1987

Expiration Date

06/22/1990

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006