JOHN JOSEPH DE GUIDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

JOHN

Middle

JOSEPH

Last Name

DE GUIDE

Suffix

Business Name

JOHN JOSEPH DE GUIDE MD

Original Issue Date

02/25/1999

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023