EMIL KLOSOWIAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074159

License Status

CANCELLED

Business

Title

First Name

EMIL

Last Name

KLOSOWIAK

Business Name

EMIL KLOSOWIAK MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/15/2019