DOROTA ZOFIA KREZOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

DOROTA

Middle

ZOFIA

Last Name

KREZOLEK

Suffix

Business Name

DOROTA ZOFIA KREZOLEK MD

Original Issue Date

12/04/2006

Effective Date

12/04/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017