KATHLEEN ANNA CHMIEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066615

License Status

CANCELLED

Business

Title

First Name

KATHLEEN

Middle

ANNA

Last Name

CHMIEL

Business Name

KATHLEEN ANNA CHMIEL DO

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

06/28/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2015