TARA CHONGSUWAT IOFFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

TARA

Middle

CHONGSUWAT

Last Name

IOFFE

Business Name

TARA CHONGSUWAT IOFFE MD

Original Issue Date

06/07/2021

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023