MARK JOSEPH TATARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020320

License Status

EXPIRED

Business

First Name

MARK

Middle

JOSEPH

Last Name

TATARA

Suffix

Business Name

MARK JOSEPH TATARA MD

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

09/05/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006