JAN MICHAEL DULALAS RACOMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156826

License Status

ACTIVE

Business

Title

First Name

JAN MICHAEL

Middle

DULALAS

Last Name

RACOMA

Business Name

JAN MICHAEL DULALAS RACOMA MD

Original Issue Date

05/04/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023