JACEK HENRYK PIETA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027262

License Status

EXPIRED

Business

First Name

JACEK HENRYK

Last Name

PIETA

Suffix

Business Name

JACEK HENRYK PIETA MD

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

06/23/1994

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006