NARAYAN S TATA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037893

License Status

EXPIRED

Business

First Name

NARAYAN

Middle

Last Name

TATA

Suffix

Business Name

NARAYAN S TATA MD

Original Issue Date

05/20/1998

Effective Date

05/20/1998

Expiration Date

06/15/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006