MARK L TOMCZAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000102

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

TOMCZAK

Business Name

MARK L TOMCZAK

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/22/1988

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006