BART K CHWALISZ MD - Medical Doctor License in Illinois | # 125060050

BART K CHWALISZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060050

License Status

EXPIRED

Business

N

First Name

BART

Middle

K

Last Name

CHWALISZ

Suffix

MD

Business Name

BART K CHWALISZ MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012