TARA ANNA THOMAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064640

License Status

CANCELLED

Business

Title

First Name

TARA

Middle

ANNA

Last Name

THOMAS

Business Name

TARA ANNA THOMAS MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/21/2014