JAROSLAW G E PANCHUK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033240

License Status

INACTIVE

Business

First Name

JAROSLAW G E

Last Name

PANCHUK

Suffix

Business Name

JAROSLAW G E PANCHUK MD

Original Issue Date

12/22/1954

Effective Date

12/22/1954

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006