BEN J TATAROWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

BEN J

Last Name

TATAROWICZ

Suffix

Business Name

BEN J TATAROWICZ MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006