CHAD DOUGLAS TATTINI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000134

License Status

EXPIRED

Business

First Name

CHAD

Middle

DOUGLAS

Last Name

TATTINI

Suffix

Business Name

CHAD DOUGLAS TATTINI MD

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

07/31/2001

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/21/2011