CAROL OLMSTEAD MIECZNIKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084390

License Status

NOT RENEWED

Business

First Name

CAROL OLMSTEAD

Last Name

MIECZNIKOWSKI

Suffix

Business Name

CAROL OLMSTEAD MIECZNIKOWSKI MD

Original Issue Date

05/23/1992

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014