JOSE PEREZ TAMAYO Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

CANCELLED

Business

First Name

JOSE PEREZ

Last Name

TAMAYO

Business Name

JOSE PEREZ TAMAYO

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

09/30/1992

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005