TARA KOTAGAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152828

License Status

ACTIVE

Business

Title

First Name

TARA

Last Name

KOTAGAL

Business Name

TARA KOTAGAL MD

Original Issue Date

05/04/2020

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023