NINA CARMELA ROSALES TAMAYO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

NINA CARMELA

Middle

ROSALES

Last Name

TAMAYO

Business Name

NINA CARMELA ROSALES TAMAYO DO

Original Issue Date

09/29/2023

Effective Date

09/29/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2023