DAVID F TULSIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

DAVID F

Last Name

TULSIAK

Suffix

Business Name

DAVID F TULSIAK MD

Original Issue Date

12/03/1982

Effective Date

12/03/1982

Expiration Date

07/31/1984

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006