ANNA EWA KOSENTKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

EWA

Last Name

KOSENTKA

Suffix

Business Name

ANNA EWA KOSENTKA MD

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008