TARA ASHLEY KIMBROUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149917

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

ASHLEY

Last Name

KIMBROUGH

Business Name

TARA ASHLEY KIMBROUGH MD

Original Issue Date

06/22/2019

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023