TARA L ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

TARA L

Last Name

ANDERSON

Suffix

Business Name

TARA L ANDERSON MD

Original Issue Date

07/09/1997

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023