RONDI J TAGG ADI - Medical Doctor License in Illinois | # 125019615

RONDI J TAGG ADI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019615

License Status

EXPIRED

Business

N

First Name

RONDI J TAGG

Last Name

ADI

Business Name

RONDI J TAGG ADI

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006