CONSTANTINO TAQUIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026903

License Status

EXPIRED

Business

First Name

CONSTANTINO

Last Name

TAQUIS

Business Name

CONSTANTINO TAQUIS

Original Issue Date

05/23/1991

Effective Date

05/23/1991

Expiration Date

06/24/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006