BENEDICT EDWARD CISZEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048057

License Status

EXPIRED

Business

First Name

BENEDICT

Middle

EDWARD

Last Name

CISZEK

Suffix

Business Name

BENEDICT EDWARD CISZEK MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

GLENVIEW

State

Zip

60026

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007