ELZBIETA KOSLACZ-KOLANKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

ELZBIETA

Last Name

KOSLACZ-KOLANKO

Suffix

Business Name

ELZBIETA KOSLACZ-KOLANKO MD

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

07/31/2008

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011