TAMARA THABES MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

TAMARA THABES

Last Name

MITCHELL

Suffix

Business Name

TAMARA THABES MITCHELL MD

Original Issue Date

01/01/1997

Effective Date

03/18/2015

Expiration Date

07/31/2017

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017