MICHELE LYNN NIEMCZYK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044740

License Status

EXPIRED

Business

First Name

MICHELE

Middle

LYNN

Last Name

NIEMCZYK

Suffix

Business Name

MICHELE LYNN NIEMCZYK DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006