PHAMELA B DE GUZMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043441

License Status

EXPIRED

Business

First Name

PHAMELA

Middle

Last Name

DE GUZMAN

Business Name

PHAMELA B DE GUZMAN

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006