TERESA A WANCZYK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012370

License Status

EXPIRED

Business

First Name

TERESA

Middle

Last Name

WANCZYK

Suffix

Business Name

TERESA A WANCZYK DO

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006