MARY RENEE TJARKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MARY

Middle

RENEE

Last Name

TJARKS

Suffix

Business Name

MARY RENEE TJARKS MD

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

07/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020