MARK JOSEPH TATARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077438

License Status

ACTIVE

Business

First Name

MARK

Middle

JOSEPH

Last Name

TATARA

Suffix

Business Name

MARK JOSEPH TATARA MD

Original Issue Date

07/20/1988

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/08/2023