MATTHEW NIEDZWIECKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057059

License Status

EXPIRED

Business

First Name

MATTHEW

Last Name

NIEDZWIECKI

Suffix

Business Name

MATTHEW NIEDZWIECKI MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/29/2012