AGNIESZKA DIANA KOWALCZYK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065742

License Status

EXPIRED

Business

Title

First Name

AGNIESZKA

Middle

DIANA

Last Name

KOWALCZYK

Business Name

AGNIESZKA DIANA KOWALCZYK MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/29/2018