TINA M WASHINGTON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****29

NOT RENEWED

N

MD

TINA

M

WASHINGTON

TINA M WASHINGTON MD

05/14/2021

05/14/2021

07/31/2023

CHICAGO

IL

60611

COOK

PRACTITIONER

II III IV V

N

11/30/2023