TAMMARA S GOLDSCHMIDT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

TAMMARA

Middle

Last Name

GOLDSCHMIDT

Business Name

TAMMARA S GOLDSCHMIDT

Original Issue Date

09/27/2016

Effective Date

09/27/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020