GUSTAVO A BERMUDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

GUSTAVO A

Last Name

BERMUDEZ

Suffix

Business Name

GUSTAVO A BERMUDEZ MD

Original Issue Date

03/23/1982

Effective Date

03/23/1982

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006