ALEXANDRA M KONOWAL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026573

License Status

EXPIRED

Business

First Name

ALEXANDRA M

Last Name

KONOWAL

Suffix

Business Name

ALEXANDRA M KONOWAL DO

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006