MICHAEL THOMAS MARYNOWSKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047720

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

MARYNOWSKI

Business Name

MICHAEL THOMAS MARYNOWSKI DO

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2005

City

LA GRANGE

State

Zip

60525

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006