WILLIAM JOHN BULSIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123492

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

JOHN

Last Name

BULSIEWICZ

Suffix

Business Name

WILLIAM JOHN BULSIEWICZ MD

Original Issue Date

05/20/2009

Effective Date

05/20/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011