TARA LEIGH CLANCY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033721

License Status

EXPIRED

Business

First Name

TARA LEIGH

Last Name

CLANCY

Suffix

Business Name

TARA LEIGH CLANCY DO

Original Issue Date

07/01/1995

Effective Date

07/01/1995

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006