AMY JO PTASZEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

AMY JO

Last Name

PTASZEK

Suffix

Business Name

AMY JO PTASZEK MD

Original Issue Date

01/17/1996

Effective Date

01/17/1996

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020