TARA LYNN SPIVEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061831

License Status

EXPIRED

Business

Title

First Name

TARA

Middle

LYNN

Last Name

SPIVEY

Business Name

TARA LYNN SPIVEY MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2018