ANDREW MICHAEL GUZMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065533

License Status

CANCELLED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

GUZMAN

Suffix

Business Name

ANDREW MICHAEL GUZMAN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2014