ERICH J QUIDZINSKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029380

License Status

EXPIRED

Business

First Name

ERICH J

Last Name

QUIDZINSKI

Suffix

Business Name

ERICH J QUIDZINSKI DO

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006