MARY L KLODNYCKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043501

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

KLODNYCKY

Suffix

Business Name

MARY L KLODNYCKY MD

Original Issue Date

07/13/1970

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023