KELLY L SIUDZINSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109981

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SIUDZINSKI

Suffix

Business Name

KELLY L SIUDZINSKI MD

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

07/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006