TONJA R AUSTIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

TONJA

Middle

Last Name

AUSTIN

Business Name

TONJA R AUSTIN

Original Issue Date

10/24/2000

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023