TALLITA ANNY MATOS DE MENEZES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085797

License Status

ACTIVE

Business

Title

First Name

TALLITA

Middle

ANNY MATOS DE

Last Name

MENEZES

Business Name

TALLITA ANNY MATOS DE MENEZES MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/15/2025