JUDITH L TANNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

JUDITH L

Last Name

TANNER

Suffix

Business Name

JUDITH L TANNER MD

Original Issue Date

03/09/1982

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60009

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023