ROSE M WALCZAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000819

License Status

EXPIRED

Business

First Name

ROSE

Middle

Last Name

WALCZAK

Suffix

Business Name

ROSE M WALCZAK MD

Original Issue Date

04/01/2010

Effective Date

04/01/2010

Expiration Date

04/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/02/2010