AUDREY LYNN TANKSLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

AUDREY

Middle

LYNN

Last Name

TANKSLEY

Business Name

AUDREY LYNN TANKSLEY MD

Original Issue Date

08/03/2012

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023