CARMELITA T CARRIAGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

CARMELITA T

Last Name

CARRIAGA

Suffix

Business Name

CARMELITA T CARRIAGA MD

Original Issue Date

03/07/1983

Effective Date

03/07/1983

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020