KRISTINE MAKIEWICZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063185

License Status

CANCELLED

Business

Title

First Name

KRISTINE

Last Name

MAKIEWICZ

Business Name

KRISTINE MAKIEWICZ MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014