TARA A DE JESUS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108171

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

DE JESUS

Business Name

TARA A DE JESUS

Original Issue Date

11/18/2002

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023