DANIEL JACK SUDRZYNSKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072387

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

JACK

Last Name

SUDRZYNSKI

Business Name

DANIEL JACK SUDRZYNSKI DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

LastModifiedDate

10/30/2024