DOROTA ZOFIA KREZOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

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

05/23/2014

Expiration Date

07/31/2017

City

CRESTWOOD

State

Zip

60445

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017