ALISSA RACHEL GORELICK-WISNIEWSKI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053565

License Status

CANCELLED

Business

First Name

ALISSA

Middle

RACHEL

Last Name

GORELICK-WISNIEWSKI

Suffix

Business Name

ALISSA RACHEL GORELICK-WISNIEWSKI DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/16/2007