TAMMY A LYLES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034797

License Status

EXPIRED

Business

First Name

TAMMY

Middle

Last Name

LYLES

Business Name

TAMMY A LYLES

Original Issue Date

05/30/1996

Effective Date

05/30/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006