TANYA MICHELLE FIELDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043229

License Status

EXPIRED

Business

First Name

TANYA

Middle

MICHELLE

Last Name

FIELDS

Suffix

Business Name

TANYA MICHELLE FIELDS MD

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

06/17/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006