TANISHA MATHUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055574

License Status

CANCELLED

Business

Title

First Name

TANISHA

Last Name

MATHUR

Business Name

TANISHA MATHUR MD

Original Issue Date

09/11/2008

Effective Date

09/11/2008

Expiration Date

09/10/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/11/2008