CHRISTINA M KWASNICA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

KWASNICA

Suffix

Business Name

CHRISTINA M KWASNICA MD

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006