CARMELITA T CARRIAGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044574

License Status

NOT RENEWED

Business

First Name

CARMELITA T

Last Name

CARRIAGA

Suffix

Business Name

CARMELITA T CARRIAGA MD

Original Issue Date

08/09/1971

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023