RAFAL G CIECIERSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051191

License Status

CANCELLED

Business

First Name

RAFAL

Middle

Last Name

CIECIERSKI

Suffix

Business Name

RAFAL G CIECIERSKI MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006