ALEX CICHOMSKA HERSKOVIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061590

License Status

EXPIRED

Business

First Name

ALEX

Middle

CICHOMSKA

Last Name

HERSKOVIC

Suffix

Business Name

ALEX CICHOMSKA HERSKOVIC MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

BOURBONNAIS

State

Zip

60914

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013