CAROLINE MARGARE TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056180

License Status

NOT RENEWED

Business

First Name

CAROLINE MARGARE

Last Name

TANNER

Suffix

Business Name

CAROLINE MARGARE TANNER MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006