HALINA GAJLEWICZ KUSZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

HALINA

Middle

GAJLEWICZ

Last Name

KUSZ

Suffix

Business Name

HALINA GAJLEWICZ KUSZ MD

Original Issue Date

10/14/1998

Effective Date

10/14/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006