CORAZON TANSIOCO SAMBO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

CORAZON TANSIOCO

Last Name

SAMBO

Suffix

Business Name

CORAZON TANSIOCO SAMBO MD

Original Issue Date

01/01/1997

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2023