MARKIAN J KUZYCZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035677

License Status

EXPIRED

Business

First Name

MARKIAN

Middle

Last Name

KUZYCZ

Business Name

MARKIAN J KUZYCZ

Original Issue Date

04/24/1997

Effective Date

04/24/1997

Expiration Date

06/15/2002

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006