MICHAEL RAYMOND KOSCIELNIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081709

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RAYMOND

Last Name

KOSCIELNIAK

Business Name

MICHAEL RAYMOND KOSCIELNIAK MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/08/2023