BENJAMIN C GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

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

07/15/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011