BENJAMIN EOIN GUTIERREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078029

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

EOIN

Last Name

GUTIERREZ

Business Name

BENJAMIN EOIN GUTIERREZ MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/11/2021