PATRICIA J TAGAMOLILA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

Last Name

TAGAMOLILA

Business Name

PATRICIA J TAGAMOLILA

Original Issue Date

10/29/2003

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023