FRANK KOWALKOWSKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073485

License Status

EXPIRED

Business

Title

First Name

FRANK

Last Name

KOWALKOWSKI

Business Name

FRANK KOWALKOWSKI DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Vascular Interventional Radiology

Ever Disciplined

LastModifiedDate

11/19/2020