THEODORE DAVID PAWLIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

THEODORE

Middle

DAVID

Last Name

PAWLIK

Business Name

THEODORE DAVID PAWLIK MD

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011