CARLOS GABRIEL DE GUZMAN CORPUZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077223

License Status

CANCELLED

Business

Title

First Name

CARLOS GABRIEL

Middle

DE GUZMAN

Last Name

CORPUZ

Business Name

CARLOS GABRIEL DE GUZMAN CORPUZ MD

Original Issue Date

07/02/2020

Effective Date

07/02/2020

Expiration Date

07/01/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/02/2020