DOROTA ZOFIA KREZOLEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044600

License Status

EXPIRED

Business

First Name

DOROTA

Middle

ZOFIA

Last Name

KREZOLEK

Suffix

Business Name

DOROTA ZOFIA KREZOLEK MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006