EVAN KELTON DACKOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169813

License Status

ACTIVE

Business

Title

First Name

EVAN

Middle

KELTON

Last Name

DACKOWSKI

Business Name

EVAN KELTON DACKOWSKI MD

Original Issue Date

04/11/2024

Effective Date

04/11/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/29/2024