DANIEL EDWARD MICHNIUK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078692

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

EDWARD

Last Name

MICHNIUK

Business Name

DANIEL EDWARD MICHNIUK DO

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/26/2021