CHESTER J BUZIAK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037604

License Status

INACTIVE

Business

First Name

CHESTER J

Last Name

BUZIAK

Suffix

Business Name

CHESTER J BUZIAK DO

Original Issue Date

12/05/1961

Effective Date

12/05/1961

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006