SHIRLEY MAE GUSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028724

License Status

EXPIRED

Business

First Name

SHIRLEY

Middle

MAE

Last Name

GUSE

Suffix

Business Name

SHIRLEY MAE GUSE MD

Original Issue Date

06/11/1992

Effective Date

06/11/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006