CHARLES A CZECZOK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000935

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

Last Name

CZECZOK

Business Name

CHARLES A CZECZOK MD

Original Issue Date

02/04/2013

Effective Date

02/04/2013

Expiration Date

08/03/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/07/2013