TAMARA J MERCHANT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043845

License Status

EXPIRED

Business

First Name

TAMARA

Middle

Last Name

MERCHANT

Business Name

TAMARA J MERCHANT

Original Issue Date

02/25/2002

Effective Date

02/25/2002

Expiration Date

02/24/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006