AGATA PARFIENIUK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075174

License Status

CANCELLED

Business

Title

First Name

AGATA

Last Name

PARFIENIUK

Business Name

AGATA PARFIENIUK MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2019