CARLI T SPANIK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054657

License Status

EXPIRED

Business

Title

First Name

CARLI

Middle

Last Name

SPANIK

Business Name

CARLI T SPANIK MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

08/17/2011

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/30/2011