TABATHA L DOWNEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

TABATHA

Middle

Last Name

DOWNEY

Business Name

TABATHA L DOWNEY

Original Issue Date

01/14/2015

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021