JOHN ANTHONY CIESLAK MD - Medical Doctor License in Illinois | # 125066156

JOHN ANTHONY CIESLAK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066156

License Status

CANCELLED

Business

N

Title

MD

First Name

JOHN

Middle

ANTHONY

Last Name

CIESLAK

Business Name

JOHN ANTHONY CIESLAK MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

04/02/2015