ANTONIA P JURADO GUZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ANTONIA P JURADO

Last Name

GUZMAN

Suffix

Business Name

ANTONIA P JURADO GUZMAN MD

Original Issue Date

12/08/1986

Effective Date

12/08/1986

Expiration Date

07/31/1996

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006