JOSE PEREZ TAMAYO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092616

License Status

INACTIVE

Business

First Name

JOSE PEREZ

Last Name

TAMAYO

Business Name

JOSE PEREZ TAMAYO

Original Issue Date

04/22/1996

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2014