BEN R TAPPER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073381

License Status

INACTIVE

Business

First Name

BEN R

Last Name

TAPPER

Suffix

Business Name

BEN R TAPPER DO

Original Issue Date

08/07/1986

Effective Date

08/07/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/13/2011