ELIZABETH DOROTA KRUPA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074829

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

DOROTA

Last Name

KRUPA

Business Name

ELIZABETH DOROTA KRUPA

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022