HERMES TAN AYUSTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

HERMES TAN

Last Name

AYUSTE

Suffix

Business Name

HERMES TAN AYUSTE MD

Original Issue Date

01/01/1997

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023