BARBARA PATRICIA TIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

PATRICIA

Last Name

TIN

Suffix

Business Name

BARBARA PATRICIA TIN MD

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020