CONSUELO TAPIA

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****79

ACTIVE

N

CONSUELO

TAPIA

CONSUELO TAPIA

01/02/2003

01/21/2026

03/01/2028

GLENVIEW

IL

60026

COOK

II III IV V

N

01/21/2026