THOMAS J CZELATDKO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090954

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

CZELATDKO

Business Name

THOMAS J CZELATDKO

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

07/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006