AUDREY LYNN TANKSLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056548

License Status

CANCELLED

Business

Title

First Name

AUDREY

Middle

LYNN

Last Name

TANKSLEY

Business Name

AUDREY LYNN TANKSLEY MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/12/2009