AUGUSTO JOSE S GUEVARA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

AUGUSTO JOSE S

Last Name

GUEVARA

Business Name

AUGUSTO JOSE S GUEVARA

Original Issue Date

03/25/2002

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023