ROLAND MARIUSZ KITLAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063908

License Status

CANCELLED

Business

First Name

ROLAND

Middle

MARIUSZ

Last Name

KITLAS

Suffix

Business Name

ROLAND MARIUSZ KITLAS MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

LINCOLNSHIRE

State

Zip

60069

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014