DAVID E KACZOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103878

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

KACZOR

Suffix

Business Name

DAVID E KACZOR MD

Original Issue Date

12/05/2000

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023