BARBARA AGATA GUZMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059716

License Status

CANCELLED

Business

Title

First Name

BARBARA

Middle

AGATA

Last Name

GUZMAN

Business Name

BARBARA AGATA GUZMAN DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/23/2012