MICHAEL A DE LA TORRE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091109

License Status

ACTIVE

Business

First Name

MICHAEL A

Last Name

DE LA TORRE

Business Name

MICHAEL A DE LA TORRE

Original Issue Date

06/29/1995

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

06/16/2023