LYDIA CLARICE WOLKIEWICZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073938

License Status

CANCELLED

Business

Title

First Name

LYDIA

Middle

CLARICE

Last Name

WOLKIEWICZ

Business Name

LYDIA CLARICE WOLKIEWICZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/18/2022