EBENEZER M TAYUI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019091

License Status

EXPIRED

Business

First Name

EBENEZER M

Last Name

TAYUI

Suffix

Business Name

EBENEZER M TAYUI MD

Original Issue Date

12/20/1985

Effective Date

12/20/1985

Expiration Date

01/01/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006