KATHLEEN MARIE DZIEDZIC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031294

License Status

EXPIRED

Business

First Name

KATHLEEN MARIE

Last Name

DZIEDZIC

Suffix

Business Name

KATHLEEN MARIE DZIEDZIC

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006