GENEROSO R GUZMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055891

License Status

INACTIVE

Business

First Name

GENEROSO R

Last Name

GUZMAN

Suffix

Business Name

GENEROSO R GUZMAN MD

Original Issue Date

10/17/1977

Effective Date

10/17/1977

Expiration Date

07/31/1999

City

HAYTI

State

Zip

63851

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006