JOANNA LUCJA KMIECIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058863

License Status

CANCELLED

Business

Title

First Name

JOANNA

Middle

LUCJA

Last Name

KMIECIK

Business Name

JOANNA LUCJA KMIECIK MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/09/2010