THEODORE T TSALTAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

INACTIVE

Business

First Name

THEODORE T

Last Name

TSALTAS

Suffix

Business Name

THEODORE T TSALTAS MD

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006