ELENA GUIAO GOZUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

ELENA

Middle

GUIAO

Last Name

GOZUM

Suffix

Business Name

ELENA GUIAO GOZUM MD

Original Issue Date

02/11/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023