GUO PHOENIX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

GUO

Last Name

PHOENIX

Business Name

GUO PHOENIX MD

Original Issue Date

08/12/2015

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

ANN ARBOR

State

Zip

48104

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021