RICHARD T CZERNIEJEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047314

License Status

NOT RENEWED

Business

First Name

RICHARD T

Last Name

CZERNIEJEWSKI

Suffix

Business Name

RICHARD T CZERNIEJEWSKI MD

Original Issue Date

04/23/1973

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021