WOJCIECH STANISLAW MACIATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082708

License Status

ACTIVE

Business

Title

First Name

WOJCIECH

Middle

STANISLAW

Last Name

MACIATA

Business Name

WOJCIECH STANISLAW MACIATA 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

Internal Medicine

Ever Disciplined

LastModifiedDate

06/13/2023