ANDREW NORBERT LACZNIAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059758

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

NORBERT

Last Name

LACZNIAK

Business Name

ANDREW NORBERT LACZNIAK MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/29/2012