MAREK KAZIMIERZ KRYSZTOFIAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045416

License Status

EXPIRED

Business

First Name

MAREK

Middle

KAZIMIERZ

Last Name

KRYSZTOFIAK

Suffix

Business Name

MAREK KAZIMIERZ KRYSZTOFIAK MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010