KEITH D TATKA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124197

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

Last Name

TATKA

Business Name

KEITH D TATKA DO

Original Issue Date

08/10/2009

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023