DOROTA ZOFIA KREZOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112537

License Status

NOT RENEWED

Business

First Name

DOROTA

Middle

ZOFIA

Last Name

KREZOLEK

Suffix

Business Name

DOROTA ZOFIA KREZOLEK MD

Original Issue Date

10/18/2004

Effective Date

05/23/2014

Expiration Date

07/31/2017

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017