MONIKA JAKACKA PITZELE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051618

License Status

CANCELLED

Business

First Name

MONIKA

Middle

JAKACKA

Last Name

PITZELE

Suffix

Business Name

MONIKA JAKACKA PITZELE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/25/2009