BENNETT J PASTIKA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020784

License Status

EXPIRED

Business

First Name

BENNETT J

Last Name

PASTIKA

Suffix

Business Name

BENNETT J PASTIKA DO

Original Issue Date

05/12/1987

Effective Date

05/12/1987

Expiration Date

07/01/1991

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006