WASYL WILLIAM FEDORIW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128032

License Status

NOT RENEWED

Business

First Name

WASYL

Middle

WILLIAM

Last Name

FEDORIW

Suffix

Business Name

WASYL WILLIAM FEDORIW MD

Original Issue Date

06/03/2011

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014