TAMARA LEE LYDAY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121487

License Status

ACTIVE

Business

Title

First Name

TAMARA

Middle

LEE

Last Name

LYDAY

Business Name

TAMARA LEE LYDAY DO

Original Issue Date

07/15/2008

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

GREEN BAY

State

Zip

54304

County

BROWN

Ever Disciplined

LastModifiedDate

08/12/2023