AGATA NATALIA PLUZYCZKA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062154

License Status

CANCELLED

Business

First Name

AGATA

Middle

NATALIA

Last Name

PLUZYCZKA

Business Name

AGATA NATALIA PLUZYCZKA

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/23/2014