JACEK RAFAL JABLONSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053594

License Status

CANCELLED

Business

First Name

JACEK

Middle

RAFAL

Last Name

JABLONSKI

Suffix

Business Name

JACEK RAFAL JABLONSKI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

08/05/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/11/2010