PIOTR ROMAN OBARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052697

License Status

CANCELLED

Business

Title

First Name

PIOTR

Middle

ROMAN

Last Name

OBARA

Business Name

PIOTR ROMAN OBARA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

SKOKIE

State

Zip

60077

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

02/18/2010