TAMERLA D CHAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092288

License Status

NOT RENEWED

Business

First Name

TAMERLA D

Last Name

CHAVIS

Suffix

Business Name

TAMERLA D CHAVIS MD

Original Issue Date

01/06/1996

Effective Date

01/06/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006