JAMES MARCZAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000724

License Status

NOT RENEWED

Business

First Name

JAMES

Last Name

MARCZAK

Business Name

JAMES MARCZAK

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/1998

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006