ROMAN B WITKOWSKY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046790

License Status

INACTIVE

Business

First Name

ROMAN B

Last Name

WITKOWSKY

Suffix

Business Name

ROMAN B WITKOWSKY MD

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006