JOHN ANTHONY CIESLAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066156

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

ANTHONY

Last Name

CIESLAK

Business Name

JOHN ANTHONY CIESLAK MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/02/2015