TARA ATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112076

License Status

ACTIVE

Business

First Name

TARA

Last Name

ATTA

Suffix

Business Name

TARA ATTA MD

Original Issue Date

08/10/2004

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/17/2023