PIOTR SLAWOMIR KISZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034042

License Status

EXPIRED

Business

First Name

PIOTR SLAWOMIR

Last Name

KISZA

Business Name

PIOTR SLAWOMIR KISZA

Original Issue Date

04/20/1996

Effective Date

04/20/1996

Expiration Date

06/24/1997

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006