TAHYRI DIAZ SUJO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082431

License Status

ACTIVE

Business

Title

First Name

TAHYRI

Middle

DIAZ

Last Name

SUJO

Business Name

TAHYRI DIAZ SUJO MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/22/2023