TALISA EIKO DE CARLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071112

License Status

EXPIRED

Business

Title

First Name

TALISA

Middle

EIKO

Last Name

DE CARLO

Business Name

TALISA EIKO DE CARLO MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

11/19/2020