LUIS O BACAYO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049016

License Status

NOT RENEWED

Business

First Name

LUIS O

Last Name

BACAYO

Suffix

Business Name

LUIS O BACAYO MD

Original Issue Date

03/26/1974

Effective Date

03/26/1974

Expiration Date

07/31/1999

City

RANSOM

State

Zip

60470

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1991003082

Action

Reprimand

Discipline Start Date

03/29/1999

Discipline Reason

Failed to comply with a previously ordered probation.