TAMARA K MARSHALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

TAMARA K

Last Name

MARSHALL

Business Name

TAMARA K MARSHALL

Original Issue Date

08/29/1997

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020