PATRICIA JOANNE PODACH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

PATRICIA JOANNE

Last Name

PODACH

Suffix

Business Name

PATRICIA JOANNE PODACH MD

Original Issue Date

02/16/1983

Effective Date

02/16/1983

Expiration Date

07/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008