TAMARA JEAN BRENNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

JEAN

Last Name

BRENNER

Suffix

Business Name

TAMARA JEAN BRENNER MD

Original Issue Date

09/24/2002

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020