JORGE ENRIQUE GUZMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058389

License Status

CANCELLED

Business

Title

First Name

JORGE

Middle

ENRIQUE

Last Name

GUZMAN

Business Name

JORGE ENRIQUE GUZMAN MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

04/29/2010