IZABELA B BIESIADA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065422

License Status

CANCELLED

Business

Title

First Name

IZABELA

Middle

Last Name

BIESIADA

Business Name

IZABELA B BIESIADA DO

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

06/19/2017