AGNIESZKA KANIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Last Name

KANIA

Business Name

AGNIESZKA KANIA

Original Issue Date

07/17/2007

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020