TARA ATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

TARA

Last Name

ATTA

Suffix

Business Name

TARA ATTA MD

Original Issue Date

10/12/2004

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023