CHAD DOUGLAS TATTINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110975

License Status

ACTIVE

Business

First Name

CHAD

Middle

DOUGLAS

Last Name

TATTINI

Suffix

Business Name

CHAD DOUGLAS TATTINI MD

Original Issue Date

03/10/2004

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

06/07/2023