PIOTR WOJCIECH WEGLARZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078100

License Status

CANCELLED

Business

Title

First Name

PIOTR

Middle

WOJCIECH

Last Name

WEGLARZ

Business Name

PIOTR WOJCIECH WEGLARZ DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

11/20/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/11/2024