MARIANO DE JESUS GUZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MARIANO DE JESUS

Last Name

GUZMAN

Suffix

Business Name

MARIANO DE JESUS GUZMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006