WERNER RUDOLF DZIADZKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037541

License Status

NOT RENEWED

Business

First Name

WERNER RUDOLF

Last Name

DZIADZKA

Suffix

Business Name

WERNER RUDOLF DZIADZKA MD

Original Issue Date

11/27/1961

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008