LUIS G GUILLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

LUIS G

Last Name

GUILLEN

Suffix

Business Name

LUIS G GUILLEN MD

Original Issue Date

09/26/1991

Effective Date

09/26/1991

Expiration Date

07/31/2005

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006