AGATA CZAPLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066150

License Status

EXPIRED

Business

First Name

AGATA

Last Name

CZAPLA

Business Name

AGATA CZAPLA

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Cytopathology

Ever Disciplined

LastModifiedDate

08/16/2016