EBENEZER M TAYUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076425

License Status

ACTIVE

Business

First Name

EBENEZER M

Last Name

TAYUI

Suffix

Business Name

EBENEZER M TAYUI MD

Original Issue Date

12/07/1987

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023