TAMARA W CONGDON - Medical Doctor License in Illinois | # 036103316

TAMARA W CONGDON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103316

License Status

NOT RENEWED

Business

N

First Name

TAMARA

Middle

W

Last Name

CONGDON

Business Name

TAMARA W CONGDON

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006