MA SALOME MADRIAGA TACADENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052513

License Status

NOT RENEWED

Business

First Name

MA SALOME

Last Name

MADRIAGA TACADENA

Suffix

Business Name

MA SALOME MADRIAGA TACADENA MD

Original Issue Date

03/26/1976

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021