BENJAMIN C GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

BENJAMIN C

Last Name

GUZMAN

Business Name

BENJAMIN C GUZMAN

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011