ASHLEY M JERATH-TATUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033004

License Status

EXPIRED

Business

First Name

ASHLEY

Middle

Last Name

JERATH-TATUM

Suffix

Business Name

ASHLEY M JERATH-TATUM MD

Original Issue Date

06/05/1995

Effective Date

06/05/1995

Expiration Date

06/19/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006