ANDREW MYKYTSEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113499

License Status

NOT RENEWED

Business

First Name

ANDREW

Last Name

MYKYTSEY

Business Name

ANDREW MYKYTSEY

Original Issue Date

04/20/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011