THOMAS MICHAEL KAZMIERCZAK JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040580

License Status

EXPIRED

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

KAZMIERCZAK

Suffix

JR DO

Business Name

THOMAS MICHAEL KAZMIERCZAK JR DO

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006