TAMARA JEAN BRENNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

JEAN

Last Name

BRENNER

Suffix

Business Name

TAMARA JEAN BRENNER MD

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

07/31/2008

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020