VINCENT BRYAN DE GUIA SALVADOR MD 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

Title

First Name

VINCENT BRYAN

Middle

DE GUIA

Last Name

SALVADOR

Business Name

VINCENT BRYAN DE GUIA SALVADOR MD

Original Issue Date

01/28/2021

Effective Date

01/28/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023