ANDREW J TARTAGLIONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ANDREW J

Last Name

TARTAGLIONE

Business Name

ANDREW J TARTAGLIONE

Original Issue Date

05/05/1995

Effective Date

05/05/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006