EVA D RATAJCZAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066046

License Status

CANCELLED

Business

First Name

EVA

Middle

Last Name

RATAJCZAK

Suffix

Business Name

EVA D RATAJCZAK MD

Original Issue Date

07/08/2014

Effective Date

07/08/2014

Expiration Date

07/07/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2014