ADRIENNE NATALIE KOVALSKY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056574

License Status

CANCELLED

Business

Title

First Name

ADRIENNE

Middle

NATALIE

Last Name

KOVALSKY

Business Name

ADRIENNE NATALIE KOVALSKY DO

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2009