THADDEUS R ZAJDOWICZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

THADDEUS

Middle

Last Name

ZAJDOWICZ

Business Name

THADDEUS R ZAJDOWICZ

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017