AGNIESZKA M CHROSTOWSKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042067

License Status

EXPIRED

Business

First Name

AGNIESZKA

Middle

Last Name

CHROSTOWSKI

Business Name

AGNIESZKA M CHROSTOWSKI

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/17/2003

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006