JEFFREY MICHAEL GUTMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046624

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

GUTMAN

Suffix

Business Name

JEFFREY MICHAEL GUTMAN DO

Original Issue Date

06/05/2003

Effective Date

06/05/2003

Expiration Date

06/30/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006