GREGORY STANLEY PODOLEJ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062641

License Status

CANCELLED

Business

Title

First Name

GREGORY

Middle

STANLEY

Last Name

PODOLEJ

Business Name

GREGORY STANLEY PODOLEJ MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014