TAMARA LEVIN LOTAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117267

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

LEVIN

Last Name

LOTAN

Suffix

Business Name

TAMARA LEVIN LOTAN MD

Original Issue Date

12/08/2006

Effective Date

12/08/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008