TABITHA MARIE TATE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074103

License Status

EXPIRED

Business

Title

First Name

TABITHA

Middle

MARIE

Last Name

TATE

Business Name

TABITHA MARIE TATE MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022