EMILIO CARREON TAYAG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

EMILIO

Middle

CARREON

Last Name

TAYAG

Business Name

EMILIO CARREON TAYAG

Original Issue Date

01/18/2007

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020