BENJAMIN C GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

BENJAMIN C

Last Name

GUZMAN

Business Name

BENJAMIN C GUZMAN

Original Issue Date

07/15/1996

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017