TONY GONCALVES DA LOMBA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080176

License Status

CANCELLED

Business

Title

First Name

TONY

Middle

GONCALVES

Last Name

DA LOMBA

Business Name

TONY GONCALVES DA LOMBA MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

11/26/2024