DOROTA ZOFIA KREZOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

DOROTA

Middle

ZOFIA

Last Name

KREZOLEK

Suffix

Business Name

DOROTA ZOFIA KREZOLEK MD

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

07/31/2008

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017