PAUL R OMASTIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

PAUL R

Last Name

OMASTIAK

Suffix

Business Name

PAUL R OMASTIAK MD

Original Issue Date

05/05/1987

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023