THADDEUS S WALCZAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014205

License Status

EXPIRED

Business

First Name

THADDEUS S

Last Name

WALCZAK

Suffix

Business Name

THADDEUS S WALCZAK MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006