THEODORE E DASTYCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051213

License Status

ACTIVE

Business

First Name

THEODORE E

Last Name

DASTYCH

Suffix

Business Name

THEODORE E DASTYCH MD

Original Issue Date

07/10/1975

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

05/13/2023