MARLYN C CIESLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031285

License Status

EXPIRED

Business

Title

First Name

MARLYN

Middle

Last Name

CIESLA

Business Name

MARLYN C CIESLA MD

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006