TARA LIZBETH PAULOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133571

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

LIZBETH

Last Name

PAULOSE

Business Name

TARA LIZBETH PAULOSE MD

Original Issue Date

07/19/2013

Effective Date

07/19/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014