ELENA GUIAO GOZUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

CANCELLED

Business

First Name

ELENA

Middle

GUIAO

Last Name

GOZUM

Suffix

Business Name

ELENA GUIAO GOZUM MD

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

07/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020