MITCHELL M TATARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033398

License Status

NOT RENEWED

Business

First Name

MITCHELL M

Last Name

TATARA

Suffix

Business Name

MITCHELL M TATARA MD

Original Issue Date

05/19/1955

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

GOLF

State

Zip

60029

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011