TAMARA L DUTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126897

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

DUTTER

Suffix

Business Name

TAMARA L DUTTER MD

Original Issue Date

11/19/2010

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014