TERESA ANN OSTAPOWICZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069640

License Status

CANCELLED

Business

Title

First Name

TERESA

Middle

ANN

Last Name

OSTAPOWICZ

Business Name

TERESA ANN OSTAPOWICZ MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

08/31/2019

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/01/2019