MARTA MARIA KOWALIK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

INOPERATIVE

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

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019