AMY BIBIANA DE LA TORRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082179

License Status

ACTIVE

Business

Title

First Name

AMY

Middle

BIBIANA

Last Name

DE LA TORRE

Business Name

AMY BIBIANA DE LA TORRE MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/28/2023