MAREK KAZIMIERZ KRYSZTOFIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126386

License Status

NOT RENEWED

Business

First Name

MAREK

Middle

KAZIMIERZ

Last Name

KRYSZTOFIAK

Suffix

Business Name

MAREK KAZIMIERZ KRYSZTOFIAK MD

Original Issue Date

08/03/2010

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014