TATUM SUMMER SCARPATO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076472

License Status

CANCELLED

Business

Title

First Name

TATUM

Middle

SUMMER

Last Name

SCARPATO

Business Name

TATUM SUMMER SCARPATO DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/17/2020