MARY TATE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073185

License Status

CANCELLED

Business

Title

First Name

MARY

Last Name

TATE

Business Name

MARY TATE MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/08/2021