ESTRELLITA TAN VELEZ JO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

ESTRELLITA

Middle

TAN

Last Name

VELEZ JO

Suffix

Business Name

ESTRELLITA TAN VELEZ JO MD

Original Issue Date

01/07/2002

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023