PHAMELA B DE GUZMAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

PHAMELA

Middle

Last Name

DE GUZMAN

Business Name

PHAMELA B DE GUZMAN

Original Issue Date

06/03/2004

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60586

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023