MARTIN ADAM KWIATKOWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072439

License Status

EXPIRED

Business

Title

First Name

MARTIN

Middle

ADAM

Last Name

KWIATKOWSKI

Business Name

MARTIN ADAM KWIATKOWSKI MD

Original Issue Date

06/27/2021

Effective Date

06/27/2021

Expiration Date

08/30/2021

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022