MATTHEW HAGENSWIECICKI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074101

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Last Name

HAGENSWIECICKI

Business Name

MATTHEW HAGENSWIECICKI DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/15/2019