TARITA O THOMAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052820

License Status

CANCELLED

Business

First Name

TARITA

Middle

Last Name

THOMAS

Suffix

Business Name

TARITA O THOMAS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

05/28/2008