DIANA SIECIECHOWICZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057110

License Status

EXPIRED

Business

Title

First Name

DIANA

Last Name

SIECIECHOWICZ

Business Name

DIANA SIECIECHOWICZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

08/29/2012