ALBERTO BARBON-GUISASOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

ALBERTO

Last Name

BARBON-GUISASOLA

Suffix

Business Name

ALBERTO BARBON-GUISASOLA MD

Original Issue Date

02/17/1988

Effective Date

02/17/1988

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017