TAMMARA S GOLDSCHMIDT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

TAMMARA

Middle

Last Name

GOLDSCHMIDT

Business Name

TAMMARA S GOLDSCHMIDT

Original Issue Date

06/24/2004

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023