ELIZABETH TATUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159210

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Last Name

TATUM

Business Name

ELIZABETH TATUM MD

Original Issue Date

01/19/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2023