BIANCA MADRID MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148788

License Status

ACTIVE

Business

Title

First Name

BIANCA

Last Name

MADRID

Business Name

BIANCA MADRID MD

Original Issue Date

03/27/2019

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2023

Case Number

2019009507

Action

Suspension

Discipline Start Date

12/16/2019

Discipline End Date

12/23/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/24/2019.