EMILY LENCZOWSKI KONOPKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071886

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

LENCZOWSKI

Last Name

KONOPKA

Business Name

EMILY LENCZOWSKI KONOPKA MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/01/2021