EBENEZER M TAYUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

EBENEZER M

Last Name

TAYUI

Suffix

Business Name

EBENEZER M TAYUI MD

Original Issue Date

08/01/1989

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023