JARED TYLER MUDLONG DELAPAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086811

License Status

ACTIVE

Business

Title

First Name

JARED

Middle

TYLER

Last Name

MUDLONG DELAPAZ

Business Name

JARED TYLER MUDLONG DELAPAZ MD

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/17/2025