CAROL M CISLAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069597

License Status

NOT RENEWED

Business

First Name

CAROL M

Last Name

CISLAK

Suffix

Business Name

CAROL M CISLAK MD

Original Issue Date

10/09/1984

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021