PIOTR JAN KOLANOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107481

License Status

NOT RENEWED

Business

First Name

PIOTR

Middle

JAN

Last Name

KOLANOWSKI

Suffix

Business Name

PIOTR JAN KOLANOWSKI MD

Original Issue Date

07/17/2002

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014