MAE GUTIERREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

MAE

Last Name

GUTIERREZ

Suffix

Business Name

MAE GUTIERREZ MD

Original Issue Date

02/23/2007

Effective Date

02/23/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008