JOSEPH JACOB PALKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050614

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

JACOB

Last Name

PALKOWSKI

Suffix

Business Name

JOSEPH JACOB PALKOWSKI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006