JAMES MIKOLAJCZYK PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000199

License Status

NOT RENEWED

Business

First Name

JAMES

Last Name

MIKOLAJCZYK

Suffix

PA-C

Business Name

JAMES MIKOLAJCZYK PA-C

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

03/01/2002

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006