MARIA STEPHANIE TICSA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084362

License Status

ACTIVE

Business

Title

First Name

MARIA

Middle

STEPHANIE

Last Name

TICSA

Business Name

MARIA STEPHANIE TICSA DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/08/2024