TARA KATHERINE SUNTUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142319

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

KATHERINE

Last Name

SUNTUM

Business Name

TARA KATHERINE SUNTUM MD

Original Issue Date

02/02/2017

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021