ALFREDA FALKOWSKA-GROSRENAUD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030176

License Status

EXPIRED

Business

First Name

ALFREDA

Last Name

FALKOWSKA-GROSRENAUD

Business Name

ALFREDA FALKOWSKA-GROSRENAUD

Original Issue Date

06/08/1993

Effective Date

06/08/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006