DEBORAH ROSE TABACHNICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056845

License Status

EXPIRED

Business

Title

First Name

DEBORAH

Middle

ROSE

Last Name

TABACHNICK

Business Name

DEBORAH ROSE TABACHNICK MD

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

06/14/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012