THERESA A TACY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020707

License Status

EXPIRED

Business

First Name

THERESA

Middle

Last Name

TACY

Business Name

THERESA A TACY

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006