BERTHA P GUTIERREZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044596

License Status

EXPIRED

Business

Title

First Name

BERTHA

Middle

Last Name

GUTIERREZ

Business Name

BERTHA P GUTIERREZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009