TADEUSZ KICIARSKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052674

License Status

INACTIVE

Business

First Name

TADEUSZ

Last Name

KICIARSKI

Suffix

Business Name

TADEUSZ KICIARSKI MD

Original Issue Date

05/15/1976

Effective Date

05/15/1976

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006