MARTA MARIA KOWALIK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006250

License Status

NOT RENEWED

Business

First Name

MARTA

Middle

MARIA

Last Name

KOWALIK

Business Name

MARTA MARIA KOWALIK

Original Issue Date

07/18/2017

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020