CANDICE D TATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

CANDICE

Middle

Last Name

TATE

Business Name

CANDICE D TATE MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020