ELIZABETH TERESA WIECKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065213

License Status

NOT RENEWED

Business

First Name

ELIZABETH TERESA

Last Name

WIECKIEWICZ

Suffix

Business Name

ELIZABETH TERESA WIECKIEWICZ MD

Original Issue Date

08/20/1982

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023