CARISSA J TYO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

CARISSA

Middle

Last Name

TYO

Suffix

Business Name

CARISSA J TYO MD

Original Issue Date

11/05/2004

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2024