SUSAN KORNACKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022405

License Status

EXPIRED

Business

First Name

SUSAN

Last Name

KORNACKI

Business Name

SUSAN KORNACKI

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2010