EWA KRUPA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055217

License Status

CANCELLED

Business

First Name

EWA

Last Name

KRUPA

Suffix

Business Name

EWA KRUPA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

08/16/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/30/2011