SEBASTIAN KLISIEWICZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130783

License Status

NOT RENEWED

Business

Title

First Name

SEBASTIAN

Last Name

KLISIEWICZ

Business Name

SEBASTIAN KLISIEWICZ DO

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/31/2014

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014