MARY LOUISE TOMYANOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LOUISE

Last Name

TOMYANOVICH

Suffix

Business Name

MARY LOUISE TOMYANOVICH MD

Original Issue Date

06/24/1983

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023