GUIDO ALEJANDRO DAVIDZON 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

Title

First Name

GUIDO

Middle

ALEJANDRO

Last Name

DAVIDZON

Business Name

GUIDO ALEJANDRO DAVIDZON MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014