RICHARD TED WLODARSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066723

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

TED

Last Name

WLODARSKI

Business Name

RICHARD TED WLODARSKI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/21/2018