TARA JACQUELINE SCHAAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

JACQUELINE

Last Name

SCHAAB

Business Name

TARA JACQUELINE SCHAAB MD

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

DETROIT

State

Zip

48207

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021