License holder summary

PTAK , THEADORE WALDEMAR is a Department Of Health - Medical Doctor licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/03/1996 and expired on 03/31/1998.

Department of Health

Board of Medical Examiners

PTAK , THEADORE WALDEMAR
Department Of Health - Medical Doctor
License number
28200
Date granted
06/03/1996
Date expires
03/31/1998
Class
Department Of Health - Medical Doctor
Status
Expired
Address
medicaltn.com
ID 42193852
LAST UPDATED 2026-03-20 12:46:29 UTC

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