ELENA GUIAO GOZUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

GUIAO

Last Name

GOZUM

Suffix

Business Name

ELENA GUIAO GOZUM MD

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

07/31/2002

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020