TARA LEIGH CLANCY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096369

License Status

NOT RENEWED

Business

First Name

TARA LEIGH

Last Name

CLANCY

Suffix

Business Name

TARA LEIGH CLANCY DO

Original Issue Date

08/08/1997

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014