AUGUSTO JOSE S GUEVARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

AUGUSTO JOSE S

Last Name

GUEVARA

Business Name

AUGUSTO JOSE S GUEVARA

Original Issue Date

11/13/1996

Effective Date

11/13/1996

Expiration Date

07/31/2002

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020