DANIEL OSTAPOWICZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069630

License Status

EXPIRED

Business

Title

First Name

DANIEL

Last Name

OSTAPOWICZ

Business Name

DANIEL OSTAPOWICZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/05/2020