TARA BETH SANFT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118275

License Status

NOT RENEWED

Business

First Name

TARA

Middle

BETH

Last Name

SANFT

Suffix

Business Name

TARA BETH SANFT MD

Original Issue Date

04/30/2007

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011