MA SALOME MADRIAGA TACADENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

MA SALOME

Last Name

MADRIAGA TACADENA

Suffix

Business Name

MA SALOME MADRIAGA TACADENA MD

Original Issue Date

01/01/1997

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020