TAMARA B WYSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

WYSE

Suffix

Business Name

TAMARA B WYSE MD

Original Issue Date

10/04/1999

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020