TAMARA B WYSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

TAMARA

Middle

Last Name

WYSE

Suffix

Business Name

TAMARA B WYSE MD

Original Issue Date

05/29/1996

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023