GUAJIRA PIEDAD THOMAS MD 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

Title

First Name

GUAJIRA

Middle

PIEDAD

Last Name

THOMAS

Business Name

GUAJIRA PIEDAD THOMAS MD

Original Issue Date

07/18/2014

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017