THEODORE S URBANSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031843

License Status

EXPIRED

Business

First Name

THEODORE

Middle

Last Name

URBANSKI

Suffix

Business Name

THEODORE S URBANSKI MD

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

06/30/1997

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006