TAMARA ZORIANNA VERN-GROSS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049405

License Status

CANCELLED

Business

First Name

TAMARA

Middle

ZORIANNA

Last Name

VERN-GROSS

Business Name

TAMARA ZORIANNA VERN-GROSS

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

06/27/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006