AUDREY LYNN TANKSLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131059

License Status

ACTIVE

Business

Title

First Name

AUDREY

Middle

LYNN

Last Name

TANKSLEY

Business Name

AUDREY LYNN TANKSLEY MD

Original Issue Date

08/03/2012

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

12/13/2024