LUIS FERNANDO GUZMAN VINASCO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059930

License Status

CANCELLED

Business

Title

First Name

LUIS

Middle

FERNANDO

Last Name

GUZMAN VINASCO

Business Name

LUIS FERNANDO GUZMAN VINASCO MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2011