TAMYRA L MOUGINIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

TAMYRA L

Last Name

MOUGINIS

Suffix

Business Name

TAMYRA L MOUGINIS MD

Original Issue Date

12/10/2003

Effective Date

12/10/2003

Expiration Date

07/31/2005

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006