TARA L ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029429

License Status

EXPIRED

Business

First Name

TARA L

Last Name

ANDERSON

Suffix

Business Name

TARA L ANDERSON MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006