AMANDA MARIE KWASNICKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067248

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

KWASNICKI

Business Name

AMANDA MARIE KWASNICKI MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

06/02/2015