GINA C GUZMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

GINA C

Last Name

GUZMAN

Business Name

GINA C GUZMAN

Original Issue Date

05/29/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020