TAMARA LEE LYDAY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052627

License Status

CANCELLED

Business

Title

First Name

TAMARA

Middle

LEE

Last Name

LYDAY

Business Name

TAMARA LEE LYDAY DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/14/2007