MARY THERESE M PASCIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

MARY THERESE M

Last Name

PASCIAK

Suffix

Business Name

MARY THERESE M PASCIAK MD

Original Issue Date

07/18/1983

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023