TED J KULCZYCKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025052

License Status

EXPIRED

Business

First Name

TED J

Last Name

KULCZYCKI

Suffix

Business Name

TED J KULCZYCKI MD

Original Issue Date

05/24/1990

Effective Date

05/24/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006