TARA JEAN NEIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

TARA

Middle

JEAN

Last Name

NEIL

Suffix

Business Name

TARA JEAN NEIL MD

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008