STEVEN BLAISE TYSKA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094231

License Status

INACTIVE

Business

First Name

STEVEN BLAISE

Last Name

TYSKA

Suffix

Business Name

STEVEN BLAISE TYSKA MD

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

07/31/1999

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006