GEOFFREY C TABIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****34

NOT RENEWED

N

GEOFFREY C

TABIN

MD

GEOFFREY C TABIN MD

09/12/1986

09/12/1986

07/31/1990

CHICAGO

IL

60616

COOK

II III IV V

N

09/26/2006