ERIC MICHAEL CZAJKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070312

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

CZAJKOWSKI

Business Name

ERIC MICHAEL CZAJKOWSKI MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017