EUGENE VILLANUEVA DE GUZMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052314

License Status

EXPIRED

Business

Title

First Name

EUGENE

Middle

VILLANUEVA

Last Name

DE GUZMAN

Business Name

EUGENE VILLANUEVA DE GUZMAN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010