MARIETTA M LUAYON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

MARIETTA M

Last Name

LUAYON

Business Name

MARIETTA M LUAYON

Original Issue Date

03/08/1991

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023