KRISTOPHER NICHOLAUS JONATHON POLIAKIWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073342

License Status

EXPIRED

Business

Title

First Name

KRISTOPHER

Middle

NICHOLAUS JONATHON

Last Name

POLIAKIWSKI

Business Name

KRISTOPHER NICHOLAUS JONATHON POLIAKIWSKI MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

03/08/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/11/2022