LESZEK T MIODUSZEWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019157

License Status

EXPIRED

Business

First Name

LESZEK T

Last Name

MIODUSZEWSKI

Suffix

Business Name

LESZEK T MIODUSZEWSKI MD

Original Issue Date

05/12/1986

Effective Date

05/12/1986

Expiration Date

10/10/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006