MYLEEN T GUZMAN ABLOG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056016

License Status

EXPIRED

Business

First Name

MYLEEN

Middle

Last Name

GUZMAN ABLOG

Business Name

MYLEEN T GUZMAN ABLOG

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012