STEPHEN M LUCZYCKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035117

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

LUCZYCKI

Business Name

STEPHEN M LUCZYCKI

Original Issue Date

06/17/1996

Effective Date

06/17/1996

Expiration Date

06/30/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006