GERALD STOROE MODJESKA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033384

License Status

INACTIVE

Business

First Name

GERALD STOROE

Last Name

MODJESKA

Suffix

Business Name

GERALD STOROE MODJESKA MD

Original Issue Date

05/03/1955

Effective Date

05/03/1955

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60685

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006