TAMMILY ROSE CARPENTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046423

License Status

EXPIRED

Business

First Name

TAMMILY

Middle

ROSE

Last Name

CARPENTER

Suffix

Business Name

TAMMILY ROSE CARPENTER MD

Original Issue Date

05/23/2003

Effective Date

05/23/2003

Expiration Date

06/11/2004

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006