ANNA EWA KOSENTKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112151

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

EWA

Last Name

KOSENTKA

Suffix

Business Name

ANNA EWA KOSENTKA MD

Original Issue Date

08/18/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008