TAMARA W CONGDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103316

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

CONGDON

Business Name

TAMARA W CONGDON

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006