TATUM BRIANNE COLBURN DO - Medical Doctor License in Illinois | # 125078567

TATUM BRIANNE COLBURN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078567

License Status

EXPIRED

Business

N

Title

DO

First Name

TATUM

Middle

BRIANNE

Last Name

COLBURN

Business Name

TATUM BRIANNE COLBURN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/30/2024