CASSANDRA ANANDAPPA TAMAYO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071162

License Status

EXPIRED

Business

Title

First Name

CASSANDRA

Middle

ANANDAPPA

Last Name

TAMAYO

Business Name

CASSANDRA ANANDAPPA TAMAYO DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

08/30/2020

City

LA GRANGE

State

Zip

60525

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020