TONJA R AUSTIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037793

License Status

EXPIRED

Business

First Name

TONJA

Middle

Last Name

AUSTIN

Business Name

TONJA R AUSTIN

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006