KELLY ANN GUGGISBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

GUGGISBERG

Suffix

Business Name

KELLY ANN GUGGISBERG MD

Original Issue Date

01/19/1999

Effective Date

01/19/1999

Expiration Date

07/31/2002

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006