THOMAS WALTER GLODEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

THOMAS WALTER

Last Name

GLODEK

Suffix

Business Name

THOMAS WALTER GLODEK MD

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011