RENEE JOANNA WAKULSKI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078253

License Status

CANCELLED

Business

Title

First Name

RENEE

Middle

JOANNA

Last Name

WAKULSKI

Business Name

RENEE JOANNA WAKULSKI DO

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/23/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/23/2021