JASON ROBERT TATKA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109251

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ROBERT

Last Name

TATKA

Suffix

Business Name

JASON ROBERT TATKA DO

Original Issue Date

05/15/2003

Effective Date

04/03/2009

Expiration Date

07/31/2011

City

WEST CHESTER

State

Zip

19380

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/14/2011