MICHAEL ANDREW TANDLICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075524

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ANDREW

Last Name

TANDLICH

Business Name

MICHAEL ANDREW TANDLICH MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/17/2023