MIECZYSLAW Z WAZNY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060349

License Status

NOT RENEWED

Business

First Name

MIECZYSLAW Z

Last Name

WAZNY

Suffix

Business Name

MIECZYSLAW Z WAZNY MD

Original Issue Date

05/19/1980

Effective Date

05/19/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006