RAYMOND MARCUS DE GUZMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071630

License Status

CANCELLED

Business

Title

First Name

RAYMOND

Middle

MARCUS

Last Name

DE GUZMAN

Business Name

RAYMOND MARCUS DE GUZMAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/21/2018