ANNA B GOPANIUK-FOLGA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027394

License Status

EXPIRED

Business

First Name

ANNA B

Last Name

GOPANIUK-FOLGA

Business Name

ANNA B GOPANIUK-FOLGA

Original Issue Date

07/10/1991

Effective Date

07/10/1991

Expiration Date

07/02/1994

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006