THADDEUS S WALCZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066938

License Status

NOT RENEWED

Business

First Name

THADDEUS S

Last Name

WALCZAK

Suffix

Business Name

THADDEUS S WALCZAK MD

Original Issue Date

07/15/1983

Effective Date

07/15/1983

Expiration Date

07/31/1990

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006