BLANCA KATARZYNA GUTIERREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071925

License Status

CANCELLED

Business

Title

First Name

BLANCA

Middle

KATARZYNA

Last Name

GUTIERREZ

Business Name

BLANCA KATARZYNA GUTIERREZ MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/19/2018