GUILLERMO S D JUSTINIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

GUILLERMO S D

Last Name

JUSTINIANO

Suffix

Business Name

GUILLERMO S D JUSTINIANO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008