GREGORY DOUGLAS DUDZIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067307

License Status

CANCELLED

Business

Title

First Name

GREGORY

Middle

DOUGLAS

Last Name

DUDZIK

Business Name

GREGORY DOUGLAS DUDZIK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/26/2016