JOSEPH C KROLIKOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

KROLIKOWSKI

Business Name

JOSEPH C KROLIKOWSKI

Original Issue Date

11/02/2011

Effective Date

06/11/2015

Expiration Date

03/01/2016

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016