JOSE L GUEVARA 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

JOSE

Middle

Last Name

GUEVARA

Business Name

JOSE L GUEVARA

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

07/31/2005

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020