TAMARA J NIX Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

NIX

Business Name

TAMARA J NIX

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

07/31/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008