TANYA RENEE HODGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047014

License Status

EXPIRED

Business

First Name

TANYA

Middle

RENEE

Last Name

HODGE

Suffix

Business Name

TANYA RENEE HODGE MD

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/14/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Rhinology Fellowship

Ever Disciplined

LastModifiedDate

09/22/2006