ROMAN JOHN DACZKEWYCZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057228

License Status

NOT RENEWED

Business

First Name

ROMAN JOHN

Last Name

DACZKEWYCZ

Suffix

Business Name

ROMAN JOHN DACZKEWYCZ MD

Original Issue Date

07/24/1978

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017