TAMIKA JATAUN BASKERVILLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049232

License Status

EXPIRED

Business

First Name

TAMIKA

Middle

JATAUN

Last Name

BASKERVILLE

Suffix

Business Name

TAMIKA JATAUN BASKERVILLE MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008