KEVIN P NIEZGODA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088609

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

NIEZGODA

Suffix

Business Name

KEVIN P NIEZGODA DO

Original Issue Date

06/21/1994

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023