WILFREDO G DACUYCUY MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

INOPERATIVE

Business

First Name

WILFREDO G

Last Name

DACUYCUY

Suffix

Business Name

WILFREDO G DACUYCUY MD

Original Issue Date

01/01/1997

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023