ALEXANDER JAMES TATEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001135

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

JAMES

Last Name

TATEM

Business Name

ALEXANDER JAMES TATEM MD

Original Issue Date

11/07/2016

Effective Date

11/07/2016

Expiration Date

12/06/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/09/2017