DENISE L KLEMCZAK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118539

License Status

NOT RENEWED

Business

Title

First Name

DENISE

Middle

Last Name

KLEMCZAK

Business Name

DENISE L KLEMCZAK DO

Original Issue Date

05/30/2007

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/17/2014