MARGARET LOUISA TATE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070285

License Status

CANCELLED

Business

Title

First Name

MARGARET

Middle

LOUISA

Last Name

TATE

Business Name

MARGARET LOUISA TATE DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/15/2017