JOHN J TARASKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043220

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

TARASKA

Suffix

Business Name

JOHN J TARASKA MD

Original Issue Date

03/06/1970

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023