TARA A WASHINGTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

TARA A

Last Name

WASHINGTON

Suffix

Business Name

TARA A WASHINGTON MD

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024