MAGDALINE VICTORIA PIATEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057131

License Status

EXPIRED

Business

Title

First Name

MAGDALINE

Middle

VICTORIA

Last Name

PIATEK

Business Name

MAGDALINE VICTORIA PIATEK MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012