MIRIAM B GUTMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MIRIAM B

Last Name

GUTMANN

Suffix

Business Name

MIRIAM B GUTMANN MD

Original Issue Date

12/11/1986

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023