TONJA R AUSTIN - Medical Doctor License in Illinois | # 125037793

TONJA R AUSTIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037793

License Status

EXPIRED

Business

N

First Name

TONJA

Middle

R

Last Name

AUSTIN

Business Name

TONJA R AUSTIN

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006