MYLEEN T GUZMAN ABLOG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MYLEEN

Middle

Last Name

GUZMAN ABLOG

Business Name

MYLEEN T GUZMAN ABLOG

Original Issue Date

09/28/2012

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023