DAVID F TULSIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065602

License Status

NOT RENEWED

Business

First Name

DAVID F

Last Name

TULSIAK

Suffix

Business Name

DAVID F TULSIAK MD

Original Issue Date

11/09/1982

Effective Date

11/09/1982

Expiration Date

07/31/1984

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006