TAMARA THABES MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043770

License Status

NOT RENEWED

Business

First Name

TAMARA THABES

Last Name

MITCHELL

Suffix

Business Name

TAMARA THABES MITCHELL MD

Original Issue Date

09/24/1970

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017