TAMAR GIBLI MARCOTTE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

TAMAR

Middle

GIBLI

Last Name

MARCOTTE

Business Name

TAMAR GIBLI MARCOTTE DO

Original Issue Date

05/15/2012

Effective Date

05/23/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017