GRACE BAYUDAN DELOS SANTOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

GRACE

Middle

BAYUDAN

Last Name

DELOS SANTOS

Business Name

GRACE BAYUDAN DELOS SANTOS MD

Original Issue Date

06/24/2015

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023