TANISHA MATHUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128149

License Status

NOT RENEWED

Business

Title

First Name

TANISHA

Last Name

MATHUR

Business Name

TANISHA MATHUR MD

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014