MARK JOSEPH TATARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

MARK

Middle

JOSEPH

Last Name

TATARA

Suffix

Business Name

MARK JOSEPH TATARA MD

Original Issue Date

09/26/1988

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023