LUCIANO ADOLFO TAMAYO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081029

License Status

CANCELLED

Business

Title

First Name

LUCIANO

Middle

ADOLFO

Last Name

TAMAYO

Business Name

LUCIANO ADOLFO TAMAYO MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

11/04/2024