RUBY GUZMAN YAMAMOTO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

NOT RENEWED

Business

First Name

RUBY

Middle

GUZMAN

Last Name

YAMAMOTO

Business Name

RUBY GUZMAN YAMAMOTO

Original Issue Date

09/23/2009

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022