THOMAS CYRUS MIELEWCZYK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078650

License Status

EXPIRED

Business

Title

First Name

THOMAS

Middle

CYRUS

Last Name

MIELEWCZYK

Business Name

THOMAS CYRUS MIELEWCZYK MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022