ANDREW TYLER ASENCIO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086593

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

TYLER

Last Name

ASENCIO

Business Name

ANDREW TYLER ASENCIO DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/11/2025