JASON ROBERT TATKA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041835

License Status

EXPIRED

Business

First Name

JASON

Middle

ROBERT

Last Name

TATKA

Suffix

Business Name

JASON ROBERT TATKA DO

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

06/25/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006