DINA ANNE KACICK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132068

License Status

INACTIVE

Business

Title

First Name

DINA

Middle

ANNE

Last Name

KACICK

Business Name

DINA ANNE KACICK DO

Original Issue Date

03/13/2013

Effective Date

03/13/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/15/2025