AMANDA MARIE KWASNICKI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****11

NOT RENEWED

N

MD

AMANDA

MARIE

KWASNICKI

AMANDA MARIE KWASNICKI MD

07/26/2018

07/08/2020

07/31/2023

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

11/30/2023