TOMASZ K WAZNY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016469

License Status

EXPIRED

Business

First Name

TOMASZ K

Last Name

WAZNY

Suffix

Business Name

TOMASZ K WAZNY MD

Original Issue Date

01/31/1984

Effective Date

01/31/1984

Expiration Date

10/24/1985

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006