KATIE LYNN TATARIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054887

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

LYNN

Last Name

TATARIS

Business Name

KATIE LYNN TATARIS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/15/2008