TAMERLA D CHAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

TAMERLA D

Last Name

CHAVIS

Suffix

Business Name

TAMERLA D CHAVIS MD

Original Issue Date

04/23/1996

Effective Date

04/23/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006