MIGUEL DE GUZMAN CAMARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MIGUEL DE GUZMAN

Last Name

CAMARA

Suffix

Business Name

MIGUEL DE GUZMAN CAMARA MD

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020