GUNAR GONZALO SUBIETA-BENITO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048461

License Status

EXPIRED

Business

First Name

GUNAR

Middle

GONZALO

Last Name

SUBIETA-BENITO

Suffix

Business Name

GUNAR GONZALO SUBIETA-BENITO MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

07/31/2008