ANDREW F GUSCHWAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

GUSCHWAN

Suffix

JR MD

Business Name

ANDREW F GUSCHWAN JR MD

Original Issue Date

05/16/2002

Effective Date

05/16/2002

Expiration Date

07/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017