JULIANNA MYRIAD CLARK-WRONSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054415

License Status

CANCELLED

Business

Title

First Name

JULIANNA

Middle

MYRIAD

Last Name

CLARK-WRONSKI

Business Name

JULIANNA MYRIAD CLARK-WRONSKI MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/20/2008