JULIE MARIE FEDORKO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079497

License Status

CANCELLED

Business

Title

First Name

JULIE

Middle

MARIE

Last Name

FEDORKO

Business Name

JULIE MARIE FEDORKO DO

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2024