ANNA SIENKIEWICZ WEST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056293

License Status

CANCELLED

Business

Title

First Name

ANNA

Middle

SIENKIEWICZ

Last Name

WEST

Business Name

ANNA SIENKIEWICZ WEST MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/26/2009