TAMARA MICHELE MUSSO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

TAMARA

Middle

MICHELE

Last Name

MUSSO

Suffix

Business Name

TAMARA MICHELE MUSSO MD

Original Issue Date

11/14/2008

Effective Date

11/14/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011