TAMARA V TOIDZE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052171

License Status

EXPIRED

Business

First Name

TAMARA

Middle

Last Name

TOIDZE

Suffix

Business Name

TAMARA V TOIDZE MD

Original Issue Date

08/10/2006

Effective Date

08/10/2006

Expiration Date

08/09/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Burn Fellowship

Ever Disciplined

LastModifiedDate

08/29/2007