JOSE SANTIAGO GUTIERREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JOSE SANTIAGO

Last Name

GUTIERREZ

Suffix

Business Name

JOSE SANTIAGO GUTIERREZ MD

Original Issue Date

07/07/1982

Effective Date

07/07/1982

Expiration Date

07/31/1987

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017