BEATA J ANASZ KOPECKA - Medical Doctor License in Illinois | # 125033103

BEATA J ANASZ KOPECKA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033103

License Status

EXPIRED

Business

N

First Name

BEATA J

Last Name

ANASZ KOPECKA

Business Name

BEATA J ANASZ KOPECKA

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

06/20/1998

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006