GUNAR GONZALO SUBIETA-BENITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

GUNAR

Middle

GONZALO

Last Name

SUBIETA-BENITO

Suffix

Business Name

GUNAR GONZALO SUBIETA-BENITO MD

Original Issue Date

01/16/2008

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023