TIANA MERCEDES CARRILLO-CALDERON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

TIANA

Middle

MERCEDES

Last Name

CARRILLO-CALDERON

Business Name

TIANA MERCEDES CARRILLO-CALDERON MD

Original Issue Date

06/08/2017

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2023