JULEIGH M NOWINSKI KONCHAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060833

License Status

CANCELLED

Business

First Name

JULEIGH

Middle

Last Name

NOWINSKI KONCHAK

Suffix

Business Name

JULEIGH M NOWINSKI KONCHAK MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

01/19/2016