GUO PHOENIX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

GUO

Last Name

PHOENIX

Business Name

GUO PHOENIX MD

Original Issue Date

05/20/2010

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020