THADDEUS ANTHONY OSTASZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

THADDEUS ANTHONY

Last Name

OSTASZ

Suffix

Business Name

THADDEUS ANTHONY OSTASZ MD

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

07/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006