ANDRE BIENIARZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055479

License Status

NOT RENEWED

Business

First Name

ANDRE

Last Name

BIENIARZ

Business Name

ANDRE BIENIARZ

Original Issue Date

08/22/1977

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021