WALDEMAR MYSIAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099938

License Status

NOT RENEWED

Business

First Name

WALDEMAR

Last Name

MYSIAK

Business Name

WALDEMAR MYSIAK

Original Issue Date

03/30/1999

Effective Date

08/26/2020

Expiration Date

07/31/2023

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023