JAMES RONALD KOWALCZYK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000591

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

RONALD

Last Name

KOWALCZYK

Business Name

JAMES RONALD KOWALCZYK DO

Original Issue Date

04/01/2014

Effective Date

04/01/2014

Expiration Date

09/30/2014

City

HARVEY

State

Zip

60426

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

03/13/2015