GUADALUPE BUSTAMANTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024808

License Status

EXPIRED

Business

First Name

GUADALUPE

Last Name

BUSTAMANTE

Suffix

Business Name

GUADALUPE BUSTAMANTE MD

Original Issue Date

05/16/1990

Effective Date

05/16/1990

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006