ANDRZEJ S ZEGLEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070001

License Status

CANCELLED

Business

Title

First Name

ANDRZEJ

Middle

Last Name

ZEGLEN

Business Name

ANDRZEJ S ZEGLEN DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/10/2017