THEODORE CHARLES MEHALIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044944

License Status

NOT RENEWED

Business

First Name

THEODORE CHARLES

Last Name

MEHALIC

Suffix

Business Name

THEODORE CHARLES MEHALIC MD

Original Issue Date

10/08/1971

Effective Date

10/08/1971

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006