ADAM DAVID SOUCHIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077603

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

DAVID

Last Name

SOUCHIK

Business Name

ADAM DAVID SOUCHIK MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

04/27/2021