CHARLES J GUIMARAES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027308

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

GUIMARAES

Business Name

CHARLES J GUIMARAES

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006